WESTERN MARYLAND HEALTH CARE CORPORATION (NPI# 1265906994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265906994 |
| Entity Type | Organization |
| Organization Name | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Other Organization Name | MOUNTAIN LAUREL MEDICAL CENTER |
| Practice Address |
22221 Westernport Rd Sw Westernport MD 21562-2206 |
| Mailing Address |
1027 Memorial Dr Oakland MD 21550-4343 |
| Practice Telephone | 2407740204 |
| Practice Fax Number | 3015333299 |
| Mailing Telephone | 3015333300 |
| Mailing Fax Number | 3015333299 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-10-09 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 410467600 | 05 | |
| WV | 3810007182 | 05 | |
| MD | CAREFIRST BC/BS | 7118 | 01 |
| PA | 1030070260002 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Laurel Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053727065 | Western Maryland Health Care Corporation | Clinic/Center | 104 Parkview Dr, Grantsville, MD 21536-1086 | 2014-07-10 |
| 1467427047 | Western Maryland Health Care Corporation | Clinic/Center | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2006-02-17 |
| Street Address |
22221 WESTERNPORT RD SW |
| City | WESTERNPORT |
| State | MD |
| Zip Code | 21562-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306647 | Jeannette Lois Sweitzer | Nurse Practitioner | 22221 Westernport Rd Sw, Westernport, MD 21562-2206 | 2005-09-20 |
| 1063661635 | Kimberly Sue Maynard | Nurse Practitioner | 22221 Westernport Rd Sw, Westernport, MD 21562 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760792378 | Vicky Lynn Umstot | Occupational Therapist | 21907 Westernport Road, Westernport, MD 21562 | 2010-10-15 |
| 1043327166 | Steven Edward Scheermesser | Dentist | 21419 Chesapeake Ave, Sw, Mccoole, MD 21562 | 2006-08-24 |
| 1922014778 | Dr Norman E Wood Inc | Family Medicine | 90 Main St., Westernport, MD 21562 | 2006-08-01 |
| 1114925179 | Norman E Wood Jr. | Family Medicine | 90 Main St, Westernport, MD 21562 | 2005-07-13 |
| 1447320395 | Valerie Mae Ravenscroft | Speech-Language Pathologist | 25701 Shady Ln Sw, Westernport, MD 21562 | 2006-11-08 |
| 1750999504 | Lacey Lee | Family Medicine | 313 Poplar St, Westernport, MD 21562-1125 | 2020-07-17 |
| 1174013411 | Katrina Ann Opel | Nurse Practitioner | 51 Main St Ste 4a, Westernport, MD 21562-1400 | 2018-05-11 |
| 1407391667 | Allegany Family Health | Clinic/Center | 51 Main St, Westernport, MD 21562-1400 | 2016-12-27 |
| 1356361356 | Shin Eung Kim | Family Medicine | 90 Main St, Westernport, MD 21562-1408 | 2006-07-20 |
| 1992736755 | Tri-towns Ambulance & Rescue Service Inc | Ambulance | 59 Main St, Westernport, MD 21562-1420 | 2006-07-06 |
| Find all providers in zip 21562 | ||||
| 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 | WESTERNPORT |
| Zip Code | 21562 |
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.