Organization
UNITED HOSPITAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL JOHN PLYWACZYNSKI (VP FINANCE)
(681) 342-1000
Entity
Organization
Contact information
Practice address
327 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330
(681) 342-3100
(681) 342-3125
Mailing address
PO BOX 775, MORGANTOWN, WV 26507-0775
(681) 342-1000
(681) 342-3125
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001276000
MEDICIAD
WV
01
—
000300929
BCBS PROVIDER NUMBER
WV
01
—
510006
MEDICARE PTAN
WV
Enumeration date
11/18/2005
Last updated
09/12/2025
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