MEDICARE: WEST VIRGINIA UNIVERSITY HOSPITALS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1376472449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST VIRGINIA UNIVERSITY HOSPITALS INC

Provider Business Mailing Address
First Line	:	PO BOX 1127
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-1127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 BAKERS RIDGE RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-1500
Country	:	US
Telephone Number	:	304-598-4285
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL GRACE
Credential	:
Telephone Number	:	130-497-4340

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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