| Uhc Family Medicine Center | |
|
527 Medical Park Dr Suite 500 Bridgeport WV 26330-9010 | |
| (681) 342-3600 | |
| (681) 342-3625 |
| Full Name | Uhc Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 527 Medical Park Dr, Bridgeport, West Virginia |
| Authorized Official Name and Position | Steven Meadows (DIRECTOR OF CORPORATE COMPLIANCE) |
| Authorized Official Contact | 6813421610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhc Family Medicine Center 527 Medical Park Dr Suite 500 Bridgeport WV 26330-9010 Ph: (681) 342-3600 | Uhc Family Medicine Center 527 Medical Park Dr Suite 500 Bridgeport WV 26330-9010 Ph: (681) 342-3600 |
| NPI Number | 1134101660 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 03/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134101660 | NPI | - | NPPES |
| 0007392000 | Medicaid | WV | |
| 001709473 | Other | WV | BLUE CROSSBLUESHIELDGROUP |
| 0007392002 | Medicaid | WV | |
| CI9203 | Other | WV | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 107 (West Virginia) | Primary |
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