NPIMap

Organization Active NPI

West Cecil Health Center Inc.

Doing business as Beacon Health Center

  • Federally Qualified Health Center (FQHC)
  • Havre de Grace, MD
National Provider Identifier
1437697273
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST CECIL HEALTH CENTER INC.
Doing business as
Beacon Health Center
Practice address
253 Lewis LN Ste 202
Havre de Grace, MD 21078-3756
Phone
(443) 502-7060
Fax
(410) 378-9922
NPI assigned
Feb 1, 2017
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST CECIL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mr. John Ragnar Ness
Title
Ceo/Cfo
Phone
(410) 378-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

253 Lewis LN Ste 202
Havre de Grace, MD 21078-3756

Mailing address

PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696

Other names 1

  • Beacon Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140318000266 MD Part B Supplier - Clinic/Group Practice 6709964398 Receives reassigned benefits from 24 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conowingo, MD; Elkton, MD; Havre de Grace, MD
O20170303000146 MD Part A Provider - Federally Qualified Health Center (FQHC) 6709964398 Practice locations: Havre de Grace, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437697273. Details of each certification follow.

Federally qualified health center certification: CCN 211912

Legal name
WEST CECIL HEALTH CENTER INC.
Doing business as
BEACON HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 3, 2017
Last certification
Mar 3, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 2006 in MD
Enrollment address
253 Lewis LN
Ste 202
Havre de Grace, MD 21078-3756

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2127219WCHC Beacon Health Center253 Lewis Lane Suite 202, Havre de Grace, MD 21078Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory
Part of
West Cecil Health Center Inc

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Elyse Murray Individual Corporate DirectorBoard Member Jun 11, 2019
Nikolaos Brusio Individual Corporate OfficerChief Financial Officer May 20, 2024
W-2 Managing EmployeeChief Financial Officer May 20, 2024
Jeffrey K Coale Individual Corporate DirectorBoard President Jun 11, 2024
John Ragnar Ness Individual W-2 Managing EmployeePresident & Ceo Aug 4, 2017
Sarah Snyder Individual Corporate DirectorBoard Member Jun 28, 2022
Mozella Williams Individual Corporate OfficerChief Medical Officer Mar 4, 2020
W-2 Managing EmployeeChief Medical Officer Mar 4, 2020
Laura Hannan Individual Corporate DirectorBoard Treasurer Jan 24, 2023
Arthur Grace Individual Corporate DirectorBoard Secretary Jun 24, 2020
Melanie Horning Individual Corporate DirectorBoard Member Sep 12, 2023
Arsalan Sheikh Individual Corporate DirectorBoard Member Dec 10, 2024
Morgan McRay Individual Corporate DirectorBoard Member Apr 9, 2024
Jenni Hammer Individual Corporate OfficerBoard Member Jun 11, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
West Cecil Health Center Inc.Conowingo, MD, CCN 211868 Federally qualified health center Other Mar 3, 2006

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1437697273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN STE 202",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783756",
            "telephone_number": "443-502-7060",
            "fax_number": "410-378-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CECIL HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CECIL HEALTH CENTER",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAGNAR",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "410-378-9696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.