WESTERN MARYLAND HEALTH CARE CORPORATION (NPI# 1053727065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053727065 |
| Entity Type | Organization |
| Organization Name | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Other Organization Name | MOUNTAIN LAUREL MEDICAL CENTER |
| Practice Address |
104 Parkview Dr Grantsville MD 21536-1086 |
| Mailing Address |
1027 Memorial Dr Oakland MD 21550-4343 |
| Practice Telephone | 3018955107 |
| Practice Fax Number | 3015333299 |
| Mailing Telephone | 3015333300 |
| Mailing Fax Number | 3015333299 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MR. BRIAN G BAILEY (CEO) |
| Authorized Official Telephone | 3015333300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS | 7118 | 01 |
| MD | 410467600 | 05 | |
| PA | 103007026001 | 05 | |
| WV | 3810007182 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Laurel Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906994 | Western Maryland Health Care Corporation | Family Medicine | 22221 Westernport Rd Sw, Westernport, MD 21562-2206 | 2019-01-16 |
| 1467427047 | Western Maryland Health Care Corporation | Clinic/Center | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2006-02-17 |
| Street Address |
104 PARKVIEW DR |
| City | GRANTSVILLE |
| State | MD |
| Zip Code | 21536-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467970848 | Christy Lynn Lambert | Social Worker | 104 Parkview Dr, Grantsville, MD 21536-1086 | 2017-09-06 |
| 1184067993 | Janelle H Porter | Physician Assistant | 104 Parkview Dr, Grantsville, MD 21536-1086 | 2013-04-10 |
| 1760687073 | Sarah Meredith Call | Family Medicine | 104 Parkview Dr, Grantsville, MD 21536-1086 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619209 | Scott Sweitzer | Physical Therapy Assistant | 12580 National Pike, Grantsville, MD 21536 | 2008-01-22 |
| 1558317875 | Mankamyer Chiropractic and Rehabilitation PC | Chiropractor | 11349 National Pike, Grantsville, MD 21536 | 2006-05-26 |
| 1033117221 | Robin Lee Bissell | General Practice | 124 Miller St, Grantsville, MO 21536 | 2005-07-12 |
| 1386192250 | Tammy Crayton | Nurse Practitioner | 32 Corporate Dr, Grantsville, MD 21536 | 2016-09-20 |
| 1104069285 | Erin K Parrill | Physical Therapist | 12580 National Pike, Grantsville, MD 21536 | 2009-04-20 |
| 1003817677 | Terry E Dornburg | Dentist | 124 Miller St, Grantsville, MD 21536 | 2005-08-04 |
| 1073594826 | Northern Garrett County Rescue Squad, Inc. | Ambulance | 124 Miller Street, Grantsville, MD 21536-0293 | 2005-11-09 |
| 1467475145 | Robin Bissell, M.d, LLC | Clinic/Center | 124 Miller St, Grantsville, MD 21536-0718 | 2006-07-25 |
| 1598105496 | Bedford Road Pharmacy Inc | Pharmacy | 149 Main St, Grantsville, MD 21536-1258 | 2013-06-25 |
| 1750655387 | Melissa Kreger | Pharmacist | 149 Main St, Grantsville, MD 21536-1258 | 2012-02-29 |
| Find all providers in zip 21536 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
| 1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
| 1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
| City | GRANTSVILLE |
| Zip Code | 21536 |
Please comment or provide details below to improve the information on WESTERN MARYLAND HEALTH CARE CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.