Basic Information
Provider Information
NPI: 1407477912
EntityType: 2
ReplacementNPI:  
OrganizationName: WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
LastName:  
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Mailing Information
Address1: PO BOX 1127
Address2:  
City: MORGANTOWN
State: WV
PostalCode: 265071127
CountryCode: US
TelephoneNumber: 3045984032
FaxNumber:  
Practice Location
Address1: 1325 LOCUST AVE
Address2:  
City: FAIRMONT
State: WV
PostalCode: 265541435
CountryCode: US
TelephoneNumber: 3045984000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/06/2020
LastUpdateDate: 05/12/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: WRIGHT
AuthorizedOfficialFirstName: ALBERT
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: PRESIDENT & CEO
AuthorizedOfficialTelephone: 3045984200
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate: 05/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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