Organization
UNITED HOSPITAL CENTER, INC
Active
Parent organization
UNITED HOSPITAL CENTER DBA UHC PAIN MANAGEMENT
Other names
UHC Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED HOSPITAL CENTER DBA UHC PAIN MANAGEMENT
Authorized official
STEVEN MEADOWS (DIRECTOR OF CORPORATE COMPLIANCE)
(681) 342-1610
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DRIVE, STE 402, BRIDGEPORT, WV 26330
(681) 342-3590
(681) 342-3507
Mailing address
527 MEDICAL PARK DRIVE, STE 402, BRIDGEPORT, WV 26330
(681) 342-3590
(681) 342-3507
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001793480
MSBCBS PAY TO NUMBER
WV
01
—
9336515
MEDICARE PTAN
WV
Enumeration date
11/02/2006
Last updated
04/23/2014
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