Healthcare Provider Details

I. General information

NPI: 1598513574
Provider Name (Legal Business Name): WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 UNIVERSITY TOWN CENTRE DR
MORGANTOWN WV
26501
US

IV. Provider business mailing address

PO BOX 1127
MORGANTOWN WV
26507-1127
US

V. Phone/Fax

Practice location:
  • Phone: 855-988-2273
  • Fax: 304-974-5900
Mailing address:
  • Phone: 855-778-2922
  • Fax: 304-598-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL GRACE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 304-598-4000