NPIMap

Organization Active NPI

Garrett County Memorial Hospital

  • Skilled Nursing Facility
  • Oakland, MD
National Provider Identifier
1023007820
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110005 Issued in MD
Legal business name
GARRETT COUNTY MEMORIAL HOSPITAL
Practice address
251 N Fourth St
Oakland, MD 21550-1375
Phone
(301) 533-4220
Fax
(301) 533-4208
NPI assigned
Oct 14, 2005
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GARRETT COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tracy Dawn Lipscomb, CPA
Title
VP Finance Cfo
Phone
(301) 533-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110005 MD Primary

Addresses

Primary practice location

251 N Fourth St
Oakland, MD 21550-1375

Mailing address

251 N Fourth St
Oakland, MD 21550-1375
Phone (301) 533-4220

Other identifiers 1

IdentifierTypeStateIssuer
155060800MedicaidMD

Other names 1

  • Sub-Acute Rehab Unit Other name

National Provider Directory

National Provider Directory
Part of
Garrett County-Cardiolo

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1023007820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N FOURTH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-4220",
            "fax_number": "301-533-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N FOURTH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-4220",
            "fax_number": "301-533-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRETT COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "VP FINANCE CFO",
        "authorized_official_telephone_number": "301-533-4171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "110005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155060800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sub-Acute Rehab Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sub-Acute Rehab Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.