BRIDGEPORT PHYSICIANS CARE – NPI #1619152436
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

BRIDGEPORT PHYSICIANS CARE is a clinical medical laboratory located in BRIDGEPORT, WV. NPPES has assigned the NPI number 1619152436 to BRIDGEPORT PHYSICIANS CARE on December 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGEPORT PHYSICIANS CARE” is a dba name, the actual legal business name for this organization is UNITED PHYSICIANS CARE INC. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 17 years ago on Jan 08, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGEPORT PHYSICIANS CARE below.

NPI Profile for
UNITED PHYSICIANS CARE INC

NPI Number
1619152436
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNITED PHYSICIANS CARE INC
Doing Business As (dba): BRIDGEPORT PHYSICIANS CARE
Primary location
1511 JOHNSON AVE
STE 104
BRIDGEPORT, WV 26330-1016
Phone: (304) 848-0702 Fax: (304) 848-0705
Mailing address
686 S PIKE ST
STE A
SHINNSTON, WV 26431-1043
Phone: (304) 624-4655 Fax: (304) 624-3918
Organization Subpart
No
Authorized Official
JOHN FORESTER
CHIEF EXECUTIVE OFFICER
Phone: (304) 624-4655
Updated
Identifiers

Identifiers for BRIDGEPORT PHYSICIANS CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV3810010590
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
WV 51D1071522

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.