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Contact Information

UNITED HOSPITAL CENTER
327 MEDICAL PARK DRIVE
BRIDGEPORT, WV26330
 Phone: 681-342-3100
 Fax: 681-342-3125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for UNITED HOSPITAL CENTER

NPI Number 1669501144
LBN Legal business name UNITED HOSPITAL CENTER
Authorized official RUSSELL PLYWACZYNSKI - (VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 09/12/2025 - About 9 months ago
Identifiers
WV License # WV107
Other CD9712 RR GROUP NUMBER
Other CI9203 RR GROUP NUMBER
WV Other 0001276003 MEDICAID PROVIDER NUMBER
WV Other 5100061 MEDICARE PTAN
WV Other C30572 RR GROUP NUMBER
WV Other CD9216 RR GROUP NUMBER
WV Other CD9217 RR GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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