WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION


Address: 1201 Washington St E, Suite 108, Charleston, WV 25301-1834
Phone: 3042935033

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION (NPI# 1407064132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407064132
Entity Type Organization
Organization Name WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Other Organization Name WVUPC FAMILY MED CTR OF CHAS (LAB)
Practice Address 1201 Washington St E
Suite 108
Charleston
WV 25301-1834
Mailing Address Po Box 7000
Morgantown
WV 26507-7000
Practice Telephone 3042935033
Practice Fax Number 3042936963
Mailing Telephone 3042935033
Mailing Fax Number 3042936963
Enumeration Date 2007-05-18
Last Update Date 2008-06-19
Authorized Official Name TERRY MILLER (PROVIDER RELATIONS ANALYST)
Authorized Official Telephone 3042935033
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 6705038000 WV Laboratories

Other Provider/Organization Names

Other Name Type Code
WVUPC Family Med Ctr of Chas (LAB) Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194932590 West Virginia University Medical Corporation Charleston Division Internal Medicine Wvu F 3200 Maccorkle Ave Se Clin D, Charleston, WV 25304-0000 2007-05-16
1568671980 West Virginia University Medical Corporation Charleston Division Family Medicine 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 2007-05-22
1295943777 West Virginia University Medical Corporation Charleston Division Family Medicine 3110 Maccorkle Ave Se, Charleston, WV 26507-7000 2007-05-18
1801866538 West Virginia University Medical Corporation Charleston Division Family Medicine 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 2006-01-25

Office Location

Street Address 1201 WASHINGTON ST E
SUITE 108
City CHARLESTON
State WV
Zip Code 25301-1834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770524977 Ryan H. Fitzwater Urology 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 2006-06-09
1912204702 Wvupc-camc Fam Med Surgery Center Clinic/Center 1201 Washington St E, Charleston, WV 25301-1834 2011-02-15
1043511801 Integrated Health Care Providers, Inc. Clinical Medical Laboratory 1201 Washington St E, Suite 100, Charleston, WV 25301-1834 2010-11-10
1366694176 Andrew Michael Jenkins Nurse Anesthetist, Certified Registered 1201 Washington St E, Charleston, WV 25301-1834 2008-10-13
1427213636 John E Campbell Internal Medicine 1201 Washington St E, Charleston, WV 25301-1834 2008-07-28
1912187097 Kelly Victoria Rennie Surgery 1201 Washington St E, Suite 208, Charleston, WV 25301-1834 2007-11-06
1639370034 Integrated Health Care Providers, Inc. Urology 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 2007-05-31
1568671980 West Virginia University Medical Corporation Charleston Division Family Medicine 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 2007-05-22
1396964904 Joshua Mark Lohri Surgery 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 2007-04-24
1649397951 Christopher Miles Terpening Pharmacist 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 2007-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
1285123471 Burgess Dental Dentist 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 2018-05-03
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1558976100 Enmed Microanalytics, Inc Clinical Medical Laboratory 645 Meeting St Ste 2, Charleston, SC 29403-4277 2020-09-10
1831674084 Appalachian Labs of Wv LLC Clinical Medical Laboratory 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 2018-10-03
1174009245 Vikor Scientific, LLC Clinical Medical Laboratory 22 Westedge St., Suite 800, Charleston, SC 29403-2940 2018-07-12
1376081612 Mountaineer Laboratories LLC Clinical Medical Laboratory 1337 Virginia St E, Charleston, WV 25301-3011 2017-02-07
1437605615 Phi Life Sciences LLC Clinical Medical Laboratory 645 Meeting St, Suite 3, Charleston, SC 29403-4279 2016-08-29
1992998157 Iverson Genetic Diagnostics, Inc. Clinical Medical Laboratory 645 Meeting Street, Charleston, SC 29403 2007-08-21
1205933421 Kanawha Surgicenter Clinical Medical Laboratory 4803 Maccorkle Ave Se, Charleston, WV 25304-1948 2006-09-20
1699873240 Integrated Health Care Providers, Inc. Clinical Medical Laboratory 830 Pennsylvania Ave Ste 205, Charleston, WV 25302-3389 2006-09-20
1891770806 Laboratory Corporation of America Holdings Clinical Medical Laboratory 120 Hills Plz, Charleston, WV 25387-2438 2005-12-13
1184288623 Msrc, LLC Clinical Medical Laboratory 102 Patrick Street Plz, Charleston, WV 25387-2444 2019-04-30
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City CHARLESTON
Zip Code 25301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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