WEST CECIL HEALTH CENTER INC. (NPI# 1861932089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861932089 |
| Entity Type | Organization |
| Organization Name | WEST CECIL HEALTH CENTER INC. |
| Practice Address |
4863 Pulaski Hwy Ste 200 Perryville MD 21903-1624 |
| Mailing Address |
Po Box 99 Conowingo MD 21918-0099 |
| Practice Telephone | 4103789696 |
| Practice Fax Number | 4103780787 |
| Mailing Telephone | 4103789696 |
| Mailing Fax Number | 4103780787 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | JOHN RAGNAR NESS (INTERIM CEO/ CFO) |
| Authorized Official Telephone | 4437312971 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST CECIL HEALTH CENTER, INC |
| 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 |
| 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 |
| 1437697273 | West Cecil Health Center Inc. | Clinic/Center | 253 Lewis Ln, Havre De Grace, MD 21078-3750 | 2017-02-01 |
| 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 |
4863 PULASKI HWY STE 200 |
| City | PERRYVILLE |
| State | MD |
| Zip Code | 21903-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831568286 | Kimberly Savage | Nurse Practitioner | 703 Rustic Court, Perryville, MD 21903 | 2015-09-16 |
| 1396989927 | Lee Ann Nelson Physical Therapy LLC | Physical Therapist | 4899 Pulaski Highway, Suite A, Perryville, MD 21903 | 2009-04-27 |
| 1407026891 | Sunshine Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 304 Aiken Avenue Unit C, Perryville, MD 21903 | 2008-03-03 |
| 1770669798 | Hoai An Truong | Pharmacist | 5319 Pulaski Highway, Perryville, MD 21903 | 2006-10-31 |
| 1073521431 | Nicole Fay Di Giovanni | Social Worker | 11 A Owenslanding Ct., Perryville, MD 21903 | 2006-08-03 |
| 1922246206 | Union Hospital of Cecil County | Radiology | 4863 Pulaski Hwy, Ste 100 Principio Health Center, Perryville, MD 21903 | 2009-01-26 |
| 1932294303 | Eugene Sloan Craig Jr. | Internal Medicine | Vamhcs, Perry Point, MD 21903 | 2006-10-03 |
| 1619926623 | Heather Mccoy Blackiston | Chiropractor | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2006-05-08 |
| 1740405604 | North East Chiropractic Pa | Physical Therapist | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2007-04-16 |
| 1497137293 | Ati Holdings, LLC | Occupational Therapist | 4853 Pulaski Hwy Ste 315, Perryville, MD 21903-1606 | 2015-06-29 |
| Find all providers in zip 21903 | ||||
| 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 |
|---|---|---|---|---|
| 1215368402 | Cross Trails Medical Center | Clinic/Center | 1314 Brenda Ave, Perryville, MO 63775-2624 | 2013-12-12 |
| 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 | PERRYVILLE |
| Zip Code | 21903 |
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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.