Organization
WVUPC-CAMC FAM MED SURGERY CENTER
Active
Other names
WVU Physicians of Charleston
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1201 WASHINGTON ST E, CHARLESTON, WV 25301-1834
(304) 347-1296
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101
WV BLUE SHIELD SUFFIX
WV
05
—
400210600
—
WV
01
—
51D0865570
CLIA FACILITY LAB NUMBER
WV
01
—
6705038001
FACILTY EPSDT NUMBER
WV
Enumeration date
02/15/2011
Last updated
02/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us