Provider Demographics
NPI:1396728192
Name:UNITED HOSPITAL CENTER, INC
Entity type:Organization
Organization Name:UNITED HOSPITAL CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CORPORATE COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:681-342-1610
Mailing Address - Street 1:327 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9006
Mailing Address - Country:US
Mailing Address - Phone:304-624-2424
Mailing Address - Fax:304-622-9458
Practice Address - Street 1:300 DAVISSON RUN RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-9304
Practice Address - Country:US
Practice Address - Phone:304-624-2424
Practice Address - Fax:304-622-9458
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HOSPITAL CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-25
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0001276001Medicaid
WV305-605OtherBLACK LUNG
WV000329679OtherMOUNTAIN STATE BLUE CROSS
WV517053AOtherMEDICARE PTAN
WVWV00724OtherHEALTH PLAN
WV=========OtherVA
WV0001276001Medicaid
WV=========OtherAETNA
WV=========OtherMAILHANDLERS
WV517053AMedicare Oscar/Certification
WV=========OtherTRICARE REGIONS 2 AND 5
WV=========OtherUNITED HEALTHCARE
WV000329679OtherMOUNTAIN STATE BLUE CROSS
WV=========OtherACORDIA
WV=========Other4- MOST HEALTH NETWORK
WV=========OtherMAMSI LIFE AND HEALTH
WV305-605OtherBLACK LUNG
WV=========OtherALLIANCE PPO
WV=========OtherCIGNA HEALTHCARE