Organization
UNITED HOSPITAL CENTER
Active
Other names
UHC Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MEADOWS (DIRECTOR OF CORPORATE COMPLIANCE)
(681) 342-1610
Entity
Organization
Contact information
Practice address
916 W MAIN ST, BRIDGEPORT, WV 26330-1651
(304) 842-1034
(304) 842-1037
Mailing address
527 MEDICAL PARK DR, SUITE 304, BRIDGEPORT, WV 26330-9008
(304) 842-1034
(304) 842-1037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
107
WV
2086S0129X
Vascular Surgery Physician
107
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018554
—
WV
Enumeration date
09/13/2010
Last updated
03/30/2014
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