Healthcare Provider Details

I. General information

NPI: 1528040359
Provider Name (Legal Business Name): WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 LOCUST AVE
FAIRMONT WV
26554-1435
US

IV. Provider business mailing address

PO BOX 1127
MORGANTOWN WV
26507-1127
US

V. Phone/Fax

Practice location:
  • Phone: 304-534-7810
  • Fax: 681-753-5801
Mailing address:
  • Phone: 304-598-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A. GRACE
Title or Position: PRESIDENT
Credential:
Phone: 304-598-4000