Provider Demographics
NPI:1073980710
Name:WEST VIRGINIA UNIVERSITY HOSPITALS INC
Entity Type:Organization
Organization Name:WEST VIRGINIA UNIVERSITY HOSPITALS INC
Other - Org Name:WVUH SPECIALTY PHARMACY & HOME INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-598-4000
Mailing Address - Street 1:3040 UNIVERSITY AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3381
Mailing Address - Country:US
Mailing Address - Phone:304-285-7216
Mailing Address - Fax:304-598-4034
Practice Address - Street 1:3040 UNIVERSITY AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3380
Practice Address - Country:US
Practice Address - Phone:304-285-7216
Practice Address - Fax:304-598-4034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy