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Contact Information

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
201 BAKERS RIDGE RD
MORGANTOWN, WV26508-1500
 Phone: 304-598-4300
 Fax: 304-598-4677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

NPI # 1518751957
LBN Legal business name WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official JUSTIN GIBSON - (VP OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/09/2025
Last updated 04/09/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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