Provider Demographics
NPI:1750565800
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 1:1370 JOHNSON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-1492
Mailing Address - Country:US
Mailing Address - Phone:681-342-3730
Mailing Address - Fax:304-842-9422
Practice Address - Street 1:1370 JOHNSON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-1492
Practice Address - Country:US
Practice Address - Phone:681-342-3730
Practice Address - Fax:304-842-9422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HOSPITAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-26
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9336512OtherMEDICARE PTAN
WV9336512Medicare PIN