NPIMap

Organization Active NPI

Way Station, Inc.

  • Community/Behavioral Health Agency
  • Cumberland, MD
National Provider Identifier
1386169381
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH000455 Issued in MD
Legal business name
WAY STATION, INC.
Practice address
121 Memorial Ave
Cumberland, MD 21502-4209
Phone
(301) 662-0099
Fax
(301) 695-2716
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Robin G. Elchin
Title
Billing Director
Phone
(301) 662-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH000455 MD Primary

Addresses

Primary practice location

121 Memorial Ave
Cumberland, MD 21502-4209

Mailing address

PO Box 3826
Frederick, MD 21705-3826
Phone (301) 662-0099

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGMedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Way Station Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386169381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3826",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217053826",
            "telephone_number": "301-662-0099",
            "fax_number": "301-695-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024209",
            "telephone_number": "301-662-0099",
            "fax_number": "301-695-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY STATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ELCHIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "301-662-0099"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "BH000455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2018; 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.