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NPI Code Detail

MEDICARE: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

MEDICARE: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1518480847
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 780
Second Line :
City : MORGANTOWN
State : WV
Zip : 26507-0780
Country : US
Telephone Number : 304-285-7101
Fax Number :
Provider Business Practice Location Address
First Line : 100 STONEY HILL RD
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-1589
Country : US
Telephone Number : 304-285-5400
Fax Number : 304-285-5401
Authorized Official
Title or Position : DIRECTOR, REVENUE CYCLE OPERATIONS
Name : BRIAN KING
Credential :
Telephone Number : 304-285-7129
Provider Enumeration Date : 07/19/2017
Last Update Date : 02/24/2026

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Directions to “WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION ” Practice Location

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