| United Hospital Center | |
|
710 Genesis Blvd Bridgeport WV 26330-9668 | |
| (681) 342-3490 | |
| (681) 342-3491 |
| Full Name | United Hospital Center |
|---|---|
| Speciality | Internal Medicine - Rheumatology |
| Location | 710 Genesis Blvd, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael Tillman (CEO) |
| Authorized Official Contact | 6813421000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Hospital Center 527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 Ph: (681) 342-3500 | United Hospital Center 710 Genesis Blvd Bridgeport WV 26330-9668 Ph: (681) 342-3490 |
| NPI Number | 1780767772 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780767772 | NPI | - | NPPES |
| 001709473 | Other | WV | BLUE CROSS PAY TO NUMBER |
| 3810008622 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | WV107 (West Virginia) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
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