Healthcare Provider Details

I. General information

NPI: 1083543151
Provider Name (Legal Business Name): WEST VIRGINIA UNIVERSITY HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BAKERS RIDGE RD
MORGANTOWN WV
26508-1500
US

IV. Provider business mailing address

PO BOX 1127
MORGANTOWN WV
26507-1127
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GRACE
Title or Position: PRESIDENT
Credential:
Phone: 130-497-4340