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Organization

HEALTH AND EDUCATION BUILDING-URGENT CARE

Active
Parent organization
WEST VIRGININIA UNIVERSITY MEDICAL CORPORATION DBA UHA
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST VIRGININIA UNIVERSITY MEDICAL CORPORATION DBA UHA
Authorized official
ANDREA M RUMBLE (PROVIDER ENROLLMENT)
(304) 285-7101
Entity
Organization

Contact information

Practice address
390 BIRCH STREET SUITE B, MORGANTOWN, WV 26506-6894
(304) 285-7200
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7100
(304) 285-7126

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QS1000X
Student Health Clinic/Center
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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