Healthcare Provider Details

I. General information

NPI: 1417412743
Provider Name (Legal Business Name): WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 BENEFACTOR DRIVE
MORGANTOWN WV
26506
US

IV. Provider business mailing address

1 MEDICAL CENTER DRIVE PO BOX 1127
MORGANTOWN WV
26506
US

V. Phone/Fax

Practice location:
  • Phone: 304-974-3100
  • Fax: 304-975-3099
Mailing address:
  • Phone: 304-598-4032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ALBERT WRIGHT
Title or Position: PRESIDENT & CEO
Credential:
Phone: 304-598-4000