Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP, FINANCE)
(304) 598-4256
Entity
Organization
Contact information
Practice address
205 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(045) 984-2853
(304) 598-6183
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/07/2024
Last updated
04/08/2025
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