Upmc Western Maryland Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UPMC WESTERN MARYLAND CORPORATION

Doing business as

UPMC Western Maryland

Practice address

45 Hunt Club Dr
Ridgeley, WV 26753-7567

Phone

(304) 726-4501

Fax

(304) 726-4051

NPI assigned

Apr 29, 2020

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Ruble

Title

Cfo

Phone

(240) 964-8032

Specialties & licenses 2

Addresses

Other names 2

• UPMC Western Maryland Doing business as
• Western Maryland Health System Corporation Former legal business name

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1215558416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152191671",
            "telephone_number": "412-623-6303",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HUNT CLUB DR",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267537567",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-964-8032"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Western Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maryland Health System Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Western Maryland Health System Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Steward, CRNP
• Alexis Stuby
• Shay Lynn Rae Tasker, OTR/L
• Peggy Trenter
• Dawna Jo Twigg
• Laurel Mary Voss, MSW
• Natalie Watson
• Western Maryland Health System Corporation (WMHS Urgent Care Services - Hunt Club Medical Clinic)
• Natalie Anne Williams, PA
• Wright Charles Wilson

• Clinic/Center in Ridgeley, WV
• Providers in Ridgeley, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.