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 OF FINANCE)
(304) 598-4256
Entity
Organization
Contact information
Practice address
13 WESTERN MARYLAND PKWY STE 106, HAGERSTOWN, MD 21740-6474
(240) 513-4591
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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