WEST CECIL HEALTH CENTER INC. (NPI# 1437697273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437697273 |
| Entity Type | Organization |
| Organization Name | WEST CECIL HEALTH CENTER INC. |
| Other Organization Name | BEACON HEALTH CENTER |
| Practice Address |
253 Lewis Ln Havre De Grace MD 21078-3750 |
| Mailing Address |
253 Lewis Ln Suite 202 Havre De Grace MD 21078-3750 |
| Practice Telephone | 4435027060 |
| Practice Fax Number | 4103789922 |
| Mailing Telephone | 4435027060 |
| Mailing Fax Number | 4103789922 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | MR. JOHN RAGNAR NESS (INTERIM CEO/ CFO) |
| Authorized Official Telephone | 4103789696 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST CECIL HEALTH CENTER |
| 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 | 414977700 | 05 |
| Other Name | Type Code |
|---|---|
| Beacon Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
| 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 |
| 1861932089 | West Cecil Health Center Inc. | Clinic/Center | 4863 Pulaski Hwy Ste 200, Perryville, MD 21903-1624 | 2017-03-07 |
| 1679972020 | West Cecil Health Center Inc. | Clinic/Center | 49 Rock Springs Rd, Conowingo, MD 21918-1352 | 2014-08-21 |
| 1366625089 | West Cecil Health Center Inc. | Clinic/Center | 49 Rock Springs Rd, Conowingo, MD 21918-1352 | 2007-12-17 |
| Street Address |
253 LEWIS LN |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809734 | John S Braxton IIi | Physician Assistant | 253 Lewis Ln, Suite 202, Havre De Grace, MD 21078-3750 | 2005-05-24 |
| 1649711326 | Aegis Sciences Corporation | Clinical Medical Laboratory | 253 Lewis Ln, Suite 302, Havre De Grace, MD 21078-3750 | 2017-03-15 |
| 1851755102 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 253 Lewis Ln, Suite 302b, Havre De Grace, MD 21078-3750 | 2016-04-12 |
| 1881002343 | Innovative Surgery Center, LLC | Clinic/Center | 253 Lewis Ln, Suite 301, Havre De Grace, MD 21078-3750 | 2014-07-29 |
| 1154752202 | Sports & Spine Pain Management, LLC | Clinic/Center | 253 Lewis Ln, Suite 302, Havre De Grace, MD 21078-3750 | 2013-11-27 |
| 1487814042 | Hyon Kyong Schneider | Physical Medicine & Rehabilitation | 253 Lewis Ln, Suite 302, Havre De Grace, MD 21078-3750 | 2008-06-16 |
| 1306003652 | Gemma Melanie Armstrong | Family Medicine | 253 Lewis Ln, Suite 202, Havre De Grace, MD 21078-3750 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 | HAVRE DE GRACE |
| Zip Code | 21078 |
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| 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.