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NPI Code Detail

MEDICARE: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

MEDICARE: WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1952503971
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 897
Second Line :
City : MORGANTOWN
State : WV
Zip : 26507-0897
Country : US
Telephone Number : 304-293-7401
Fax Number : 304-293-6963
Provider Business Practice Location Address
First Line : 171 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-3641
Country : US
Telephone Number : 304-535-6343
Fax Number : 304-293-6963
Authorized Official
Title or Position : VP FINANCE
Name : JUSTIN GIBSON
Credential :
Telephone Number : 304-598-4256
Provider Enumeration Date : 06/01/2007
Last Update Date : 10/29/2025

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Directions to “WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION ” Practice Location

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