NPIMap

Organization Active NPI

United Hospital Center, Inc

Doing business as United Transitional Care Center

  • Skilled Nursing Facility
  • Bridgeport, WV
National Provider Identifier
1972584290
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
107 Issued in WV
Legal business name
UNITED HOSPITAL CENTER, INC
Doing business as
United Transitional Care Center
Practice address
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone
(681) 342-1600
NPI assigned
Nov 14, 2005
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED HOSPITAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell John Plywaczynski
Title
VP Finance
Phone
(681) 342-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 107 WV Primary

Addresses

Primary practice location

327 Medical Park Dr
Bridgeport, WV 26330-9006

Mailing address

PO Box 775
Morgantown, WV 26507-0775
Phone (681) 342-1000

Other identifiers 2

IdentifierTypeStateIssuer
000324444OtherWVBLUE CROSS
001276000MedicaidWV

Other names 1

  • United Transitional Care Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030203000000 WV Part A Provider - Skilled Nursing Facility 8123936010 Practice locations: Bridgeport, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972584290. Details of each certification follow.

Skilled nursing facility certification: CCN 515107

Legal name
UNITED HOSPITAL CENTER INC
Doing business as
UNITED TRANSITIONAL CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 10, 1990
Last certification
Jul 3, 2024
Beds
32
Ownership / control type
Nonprofit Corporation
Organization structure
OtherProprietary
Incorporated
Jan 1, 1970 in WV
Enrollment address
327 Medical Park Drive
5 North
Bridgeport, WV 26330-9006
Nursing home name
UNITED TRANSITIONAL CARE CENTER

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
United Transitional Care CenterCCN 515107 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Feb 10, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3239.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
United Hospital Ctr21 organizations share this tax ID, including this one
Part of
United Hospital Ctr

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Randall Light Individual Corporate Director Jan 1, 2014
Stephen McIntire Individual Corporate Director Jan 1, 2014
Robert Xander Individual Corporate Director Oct 1, 2015
Michael C. Tillman Individual W-2 Managing EmployeeCeo Apr 1, 2015
Jo Ann James Individual Corporate Director Jan 1, 2016
Deborah Burge Individual W-2 Managing EmployeeMGR ENT Patient Fin SVCS Jun 1, 2021
Katherine Wagner Individual Corporate Director Jan 1, 2013
Philip Hart Individual Corporate Director Jan 1, 2017
Brian Jarvis Individual Corporate Director Jan 1, 2015
Raymond Shaw Individual Corporate Director Jan 1, 2018
William Henry Lawrence Individual Corporate Director Jan 1, 2016
Jeffrey Barger Individual Corporate Director Jul 1, 2009
Thomas Gorrell Individual Corporate Director Jan 1, 2013
James Rutkowski Individual W-2 Managing EmployeeCfo Oct 5, 2015
United Hospital Center Inc Organization, Bridgeport, WV Non-profit Operational/Managerial Control Feb 10, 1990 100%
Debra Herndon Individual Corporate Director Jan 1, 2014
Joseph Fazalare Individual Corporate Director Jan 1, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1972584290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070775",
            "telephone_number": "681-342-1000",
            "fax_number": "681-342-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "681-342-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPITAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED HOSPITAL CENTER, INC",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "PLYWACZYNSKI",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "681-342-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000324444",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001276000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Parkway",
            "address_2": "Suite 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "United Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.