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NPI Code Detail

MEDICARE: UNITED HOSPITAL CENTER, INC.

MEDICARE: UNITED HOSPITAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician105WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29336513OTHERWVMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265419527
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED HOSPITAL CENTER, INC.
Provider Business Mailing Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-1000
Fax Number : 681-342-1626
Provider Business Practice Location Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-1000
Fax Number : 681-342-1626
Authorized Official
Title or Position : DIRECTOR OF CORPORATE COMPLIANCE
Name : STEVEN MEADOWS
Credential :
Telephone Number : 681-342-1610
Provider Enumeration Date : 12/28/2005
Last Update Date : 04/28/2014

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26330-9006
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Directions to “UNITED HOSPITAL CENTER, INC. ” Practice Location

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