Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of West Virginia Concord University

Organization Sports Medicine (Emergency Medicine) Physician · NPI 1194287565

State of West Virginia Concord University is a Sports Medicine (Emergency Medicine) Physician in Athens, West Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5

Practice location Address checks out

1000 Vermillion St
Athens, WV 24712-9027
Phone: (304) 384-7325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X
Family Medicine Physician Taxonomy 207Q00000X
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1194287565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hugh Campbell — Director Of Health Services · (304) 384-5331
NPI enumeratedApril 3, 2019
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing addressPo Box 1000, Athens, WV 24712-1000