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
1075 VAN VOORHIS RD STE 150, MORGANTOWN, WV 26505-3588
(304) 598-6216
(304) 293-6963
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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