NPIMap

Organization Active NPI

Comptroller of Maryland, Central Payroll Bureau

Doing business as Deers Head Hospital Center Renal

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Salisbury, MD
National Provider Identifier
1295726594
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
22001 Issued in MD
Legal business name
COMPTROLLER OF MARYLAND, CENTRAL PAYROLL BUREAU
Doing business as
Deers Head Hospital Center Renal
Practice address
351 Deers Head Hospital Road
Salisbury, MD 21801
Phone
(410) 543-4132
Fax
(410) 543-4140
NPI assigned
Nov 4, 2005
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mrs. Mary Beth Waide, RN, MS, JD
Title
Ceo
Phone
(410) 543-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 22001 MD Primary

Addresses

Primary practice location

351 Deers Head Hospital Road
Salisbury, MD 21801

Mailing address

PO Box 2964
Salisbury, MD 21802
Phone (410) 543-4132

Other identifiers 2

IdentifierTypeStateIssuer
472491700MedicaidMD
59022301 02R8 PH8OtherMDCAREFIRST BC/BS

Other names 1

  • Deers Head Hospital Center Renal Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000060 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 7416859327 Practice locations: Salisbury, MD

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Athletics-College Park83 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 facility ownership & control disclosures 7

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 Hospital CenterHagerstown, MD, CCN 212002 Hospital Operational/Managerial Control (100%) Jan 1, 1966
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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1295726594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2964",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21802",
            "telephone_number": "410-543-4132",
            "fax_number": "410-543-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DEERS HEAD HOSPITAL ROAD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-543-4132",
            "fax_number": "410-543-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTROLLER OF MARYLAND, CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "WAIDE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-543-4010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MS, JD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MD",
            "license": "22001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472491700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "59022301 02R8 PH8",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deers Head Hospital Center Renal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.