WESTERN MARYLAND HEALTH CARE CORPORATION (NPI# 1467427047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467427047 |
| Entity Type | Organization |
| Organization Name | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Other Organization Name | MOUNTAIN LAUREL MEDICAL CENTER |
| Practice Address |
1027 Memorial Dr Oakland MD 21550-4343 |
| Practice Telephone | 3015333300 |
| Practice Fax Number | 3015333299 |
| Mailing Telephone | 3015333300 |
| Mailing Fax Number | 3015333299 |
| Enumeration Date | 2006-02-17 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 410467600 | 05 | |
| MD | CAREFIRST BC/BS | 7118 | 01 |
| WV | 3810007182 | 05 | |
| PA | 1030070260003 | 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 |
| 1053727065 | Western Maryland Health Care Corporation | Clinic/Center | 104 Parkview Dr, Grantsville, MD 21536-1086 | 2014-07-10 |
| Street Address |
1027 MEMORIAL DR |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082538 | Linda S Bonnette | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2005-09-08 |
| 1619574787 | Amanda Lynn Kamp | Registered Nurse | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2020-10-02 |
| 1457900052 | Sara Michelle Cockerham | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-09-05 |
| 1801358478 | Robert Clinton Funk II | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-04-03 |
| 1366913170 | Kelly Ann Bailey | Psychologist | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-12-06 |
| 1760952170 | Taylor Ryan Crabtree | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-11-28 |
| 1760972079 | Michelle K Dixon | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-05-11 |
| 1336654441 | Elias John Tancin | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-12-12 |
| 1538696604 | Jessica Nichole Meyers | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-05-18 |
| 1528592516 | Christopher M Ferrell | Family Medicine | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| 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 |
|---|---|---|---|---|
| 1821501792 | Asian Health Services | Clinic/Center | 190 11th St, Oakland, CA 94607-4878 | 2017-11-14 |
| 1407109986 | County of Alameda Health Care Services Agency | Clinic/Center | 384 14th St, Oakland, CA 94612-3211 | 2012-10-20 |
| 1073827242 | Asian Health Services | Clinic/Center | 817 Harrison Street, Oakland, CA 94607-4422 | 2010-07-30 |
| 1104959089 | Alameda Health System | Clinic/Center | 6955 Foothill Blvd Suite 200, Oakland, CA 94605-2409 | 2007-03-13 |
| 1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
| 1003340738 | Roosevelt School-based Behavioral Health | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2017-04-19 |
| 1386096691 | Asian Health Services | Clinic/Center | 310 8th St Ste 210, Oakland, CA 94607 | 2016-07-11 |
| 1770902314 | La Clinica De La Raza, Inc. | Clinic/Center | 1450 Fruitvale Ave, 3rd Floor, Oakland, CA 94601-2313 | 2014-04-10 |
| 1831443563 | Lifelong Medical Care - Eastmont | Clinic/Center | 7200 Bancroft Ave, Suite 125a, Oakland, CA 94605-2403 | 2012-11-02 |
| 1467718148 | Asian Health Services | Clinic/Center | 275 14th St, Oakland, CA 94612-4070 | 2012-04-06 |
| Find all providers in OAKLAND | ||||
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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.