Organization
UNITED HOSPITAL CENTER INC
Active
Other names
UHC Family Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MEADOWS (DIRECTOR OF CORPORATE COMPLIANCE)
(681) 342-1610
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR, SUITE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Mailing address
527 MEDICAL PARK DR, SUITE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007392000
—
WV
05
—
0007392002
—
WV
01
—
001709473
BLUE CROSSBLUESHIELDGROUP
WV
01
—
CI9203
RAILROAD MEDICARE GROUP
WV
Enumeration date
11/18/2005
Last updated
03/30/2014
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