Organization
UNITED HOSPITAL CENTER, INC.
Active
Other names
Bridgeport Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TILLMAN (CEO)
(681) 342-1600
Entity
Organization
Contact information
Practice address
120 MEDICAL PARK DR, STE 300, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 423-5302
Mailing address
527 MEDICAL PARK DR, STE 400, BRIDGEPORT, WV 26330-9008
(681) 342-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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