Organization
UNITED HOSPITAL CENTER, INC.
Active
Other names
Anesthesia Department
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M COFFMAN (CFO)
(681) 342-1000
Entity
Organization
Contact information
Practice address
327 MEDICAL PARK DRIVE, BRIDGEPORT, WV 26330
(681) 342-1000
Mailing address
PO BOX 6209, WHEELING, WV 26003-0714
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001276006
—
WV
01
—
001709474
MOUNTAIN STATE BCBS
WV
01
—
229645
CARELINK
WV
01
—
WV25724B
HEALTH PLAN
WV
Enumeration date
05/30/2006
Last updated
04/13/2016
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