Organization
UNITED HOSPITAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MEADOWS (DIRECTOR OF CORPORATE COMPLIANCE)
(681) 342-1610
Entity
Organization
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1842
(681) 342-1829
Mailing address
527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 26330-9010
(681) 342-1842
(681) 342-1829
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910005915
—
WV
01
—
D405
MEDICARE PTAN
WV
Enumeration date
10/03/2013
Last updated
10/16/2017
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