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Organization
UNITED HOSPITAL CENTER, INC.
Active
Organization
UNITED HOSPITAL CENTER, INC.
Active
Other names
Bridgeport Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TILLMAN (CEO)
(681) 342-1600
Entity
Organization
Contact information
Practice address
120 MEDICAL PARK DR, STE 300, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 423-5302
Mailing address
527 MEDICAL PARK DR, STE 400, BRIDGEPORT, WV 26330-9008
(681) 342-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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