WVU PHYSICIANS OF CHARLESTON – NPI #1568769354
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

WVU PHYSICIANS OF CHARLESTON is an AHC clinic located in CHARLESTON, WV. NPPES has assigned the NPI number 1568769354 to WVU PHYSICIANS OF CHARLESTON on February 15, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WVU PHYSICIANS OF CHARLESTON” is a dba name, the actual legal business name for this organization is WVUPC-MEDICINE & SPECIALTY OFFICE. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WVU PHYSICIANS OF CHARLESTON below.

NPI Profile for
WVUPC-MEDICINE & SPECIALTY OFFICE

NPI Number
1568769354
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WVUPC-MEDICINE & SPECIALTY OFFICE
Doing Business As (dba): WVU PHYSICIANS OF CHARLESTON
Primary location
4522 MACCORKLE AVE SE
CHARLESTON, WV 25304-1840
Phone: (304) 347-1296 Fax: (304) 347-1394
Mailing address
PO BOX 7000
MORGANTOWN, WV 26507-7000
Phone: (304) 293-7401 Fax:
Organization Subpart
No
Authorized Official
TERRY MILLER
PROVIDER RELATIONS ANALYST
Phone: (304) 293-5033
Updated
Identifiers

Identifiers for WVU PHYSICIANS OF CHARLESTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIA FACILITY LAB NUMBERWV51D0695014
OTHERWC FACILITY SUFFIXWV00
OTHERWV BLUE SHIELD SUFFIXWV121
MEDICAIDWV4002106000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.