NPIMap

Organization Active NPI

West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkton, MD
National Provider Identifier
1083409536
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST CECIL HEALTH CENTER INC.
Practice address
401 Bow St
Elkton, MD 21921-5501
Phone
(410) 378-9696
Fax
(410) 378-9922
NPI assigned
Apr 14, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
John Ness
Title
Ceo
Phone
(443) 731-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

401 Bow St
Elkton, MD 21921-5501

Mailing address

PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140318000266 MD Part B Supplier - Clinic/Group Practice 6709964398 Receives reassigned benefits from 24 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conowingo, MD; Elkton, MD; Havre de Grace, MD
O20250711003921 MD Part A Provider - Federally Qualified Health Center (FQHC) 6709964398 Practice locations: Elkton, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083409536. Details of each certification follow.

Federally qualified health center certification: CCN 801021

Legal name
WEST CECIL HEALTH CENTER INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 30, 2025
Last certification
Jun 30, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
401 Bow St
Elkton, MD 21921-5501

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Cecil Health Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4863 Pulaski Hwy
Ste 200
Perryville, MD 21903

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elyse Murray Individual Corporate DirectorBoard Member Jun 11, 2019
Nikolaos Brusio Individual Corporate OfficerCfo May 20, 2024
W-2 Managing EmployeeAd; May 20, 2024
Jeffrey K Coale Individual Corporate DirectorBoard President Jun 11, 2024
John Ragnar Ness Individual Corporate OfficerCeo Jul 22, 2013
W-2 Managing EmployeeChief Financial Officer May 20, 2024
Sarah Snyder Individual Corporate DirectorBoard Member Jun 28, 2022
Mozella Williams Individual Corporate OfficerChief Medical Officer Mar 4, 2020
W-2 Managing EmployeeChief Medical Officer Mar 4, 2020
Laura Hannan Individual Corporate DirectorBoard Treasurer Jan 24, 2023
Arthur Grace Individual Corporate DirectorBoard Secretary Jun 24, 2020
Melanie Horning Individual Corporate DirectorBoard Member Sep 12, 2023
Arsalan Sheikh Individual Corporate DirectorBoard Member Dec 10, 2024
Morgan McRay Individual Corporate DirectorBoard Member Apr 9, 2024
Jenni Hammer Individual Corporate DirectorBoard Member Jun 11, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Cecil Health Center Inc.Conowingo, MD, CCN 211868 Federally qualified health center Other Mar 3, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1083409536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215501",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CECIL HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-731-2971"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.