Bridgeport Physicians Care

LBN: United Physicians Care Inc
Bridgeport Physicians Care is an health care organization with primary practice located at 1511 Johnson Ave Ste 104, Bridgeport WV 26330-1016. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. United Physicians Care Inc can be contacted via phone (304) 848-0702, or through Forester, John C via phone (304) 624-4655.

Contact Information

Primary practice address
1511 Johnson Ave Ste 104 Bridgeport WV 26330-1016
Phone: (304) 848-0702
Fax: (304) 848-0705
Website:
Map and Directions
Authorized official contact:
Name: Forester, John C
Phone: (304) 624-4655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1619176302
LBN Legal business name United Physicians Care Inc
DBA Doing business as Bridgeport Physicians Care
Authorized official Forester, John C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jan 8th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619176302 NPPES
West Virginia MEDICAID 3810009401

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