Healthcare Provider Details
I. General information
NPI: 1598847634
Provider Name (Legal Business Name): WEST VIRGINIA UNIVERSITY HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
608 CHEAT RD
MORGANTOWN WV
26508-4210
US
IV. Provider business mailing address
PO BOX 1127
MORGANTOWN WV
26507-1127
US
V. Phone/Fax
- Phone: 304-594-1313
- Fax: 304-594-2408
- Phone: 304-598-4032
- Fax: 304-598-4143
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALBERT
WRIGHT
Title or Position: PRESIDENT/CEO
Credential:
Phone: 304-598-4000