# UNITED HOSPITAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992155097
- **Authorized official:** MICHAEL TILLMAN (CEO)
- **Authorized official phone:** (681) 342-1600

## Contact information

- **Practice address:** 120 MEDICAL PARK DR, STE 300, BRIDGEPORT, WV 26330-9012
- **Practice address phone:** (304) 624-7200
- **Practice address fax:** (304) 423-5302
- **Mailing address:** 527 MEDICAL PARK DR, STE 400, BRIDGEPORT, WV 26330-9008
- **Mailing address phone:** (681) 342-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016