NPIMap

Organization Active NPI

Western Maryland Health System Braddock Hospital Corporation

  • 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
Practice address
53 N Centre St
Cumberland, MD 21502-2305
Phone
(301) 777-7071
Fax
(301) 723-1480
NPI assigned
Feb 27, 2007
Organization subpart
Yes
Parent organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATIONAs reported in NPPES

Authorized official

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

Corporate family (same tax ID) 18

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

National Provider Directory

National Provider Directory
Tax ID family
Steon Medical Practice (19 organizations share this tax ID)
Part of
Steon Medical Practice

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

NPPES NPI Registry

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 identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
H857 0001OtherDCFEDERAL BC BS
61636306OtherMDCAREFIRST BC BS

Other names 1

NPPES NPI Registry
  • BHCentre Lab Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC BS",
            "identifier": "H857 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "61636306",
            "state": "MD"
        }
    ],
    "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.