NPIMap

Organization Active NPI

Comptroller of Maryland Central Payroll Bureau

  • Chronic Disease Hospital
  • Hagerstown, MD
National Provider Identifier
1235110768
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
21013 Issued in MD
Legal business name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Practice address
1500 Pennsylvania Ave
Hagerstown, MD 21742-3112
Phone
(301) 745-4200
Fax
(301) 791-4435
NPI assigned
Nov 10, 2005
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mrs. Cynthia M. Pellegrino
Title
Director/Ceo
Phone
(301) 745-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 21013 MD Primary

Addresses

Primary practice location

1500 Pennsylvania Ave
Hagerstown, MD 21742-3112

Mailing address

1500 Pennsylvania Ave
Hagerstown, MD 21742-3112
Phone (301) 745-4200

Other names 1

  • Western Maryland Hospital Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040122000210 MD Part B Supplier - Clinic/Group Practice 7416859327 Receives reassigned benefits from 96 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD; Sykesville, MD; Salisbury, MD; Hagerstown, MD; Catonsville, MD; Cambridge, MD
O20060105000689 MD Part A Provider - Hospital 7416859327 Practice locations: Hagerstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235110768. Details of each certification follow.

Hospital certification: CCN 212002

Legal name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Doing business as
WESTERN MARYLAND HOSPITAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 1966
Last certification
Oct 28, 1992
Beds
123
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
1500 Pennsylvania Ave
Hagerstown, MD 21742-3112
Other Hospital Practice Location
Hospital subgroups
Other

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Western Maryland Hospital CenterCCN 212002 · All quality measures
Ownership
Government
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Beds
123

National Provider Directory

National Provider Directory
Tax ID family
Physician Group WPCC83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Comptroller of Maryland Central Payroll Bureau Organization, Baltimore, MD Non-profit Operational/Managerial Control Jan 1, 1966 100%
Nedina Broy-Stevenson Individual Corporate Director Jul 15, 2021
W-2 Managing EmployeeActing Chief of MDH Jul 15, 2021
Wayne Watts Individual W-2 Managing EmployeeManager, Information Services Jan 12, 2023
Kelly Edmonds Individual Corporate OfficerCfo Sep 14, 2005 100%
Corporate DirectorCfo Sep 14, 2005 100%

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Thomas B. Finan CenterCumberland, MD, CCN 214012 Hospital Operational/Managerial Control (100%) Oct 8, 1978
Spring Grove Hospital CenterCatonsville, MD, CCN 214018 Hospital Operational/Managerial Control (100%) Jun 15, 1981
Springfield Hospital CenterSykesville, MD, CCN 214004 Hospital Operational/Managerial Control (100%) Nov 14, 1994
Western Maryland S.N.C.F.Hagerstown, MD, CCN 215110 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1966
Deer's Head Hospital CenterSalisbury, MD, CCN 215132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Charlotte Hall Veterans HomeCharlotte Hall, MD, CCN 215161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jun 6, 2023
Jun 6, 2023
Jun 6, 2023
Jun 6, 2023

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1235110768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-745-4200",
            "fax_number": "301-791-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-745-4200",
            "fax_number": "301-791-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "301-745-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "MD",
            "license": "21013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maryland Hospital Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.