NPIMap

Organization Active NPI

Western Maryland Health System Braddock Hospital Corporation

Doing business as BHCentre Lab

  • Clinical Medical Laboratory
  • Cumberland, MD
National Provider Identifier
1295862076
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Doing business as
BHCentre Lab
Practice address
53 N Centre St
Cumberland, MD 21502-2305
Phone
(301) 777-7071
Fax
(301) 723-1480
NPI assigned
Feb 27, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Kimberly S Repac
Title
Sr VP Cfo
Phone
(301) 723-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

53 N Centre St
Cumberland, MD 21502-2305

Mailing address

900 Seton Dr
Cumberland, MD 21502-1854
Phone (301) 723-4200

Other names 1

  • BHCentre Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haystack Onc19 organizations share this tax ID, including this one
Part of
Haystack Onc

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295862076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021854",
            "telephone_number": "301-723-4200",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 N CENTRE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022305",
            "telephone_number": "301-777-7071",
            "fax_number": "301-723-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "301-723-6414"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHCentre Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.