NPIMap

Organization Active NPI

WMHS Braddock Hospital Corporation (Formerly Sacred Heart Hospital)

Doing business as Western Maryland Health System Extended Care Unit

  • Skilled Nursing Facility
  • Cumberland, MD
National Provider Identifier
1487611828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
01-016 Issued in MD
Legal business name
WMHS BRADDOCK HOSPITAL CORPORATION (FORMERLY SACRED HEART HOSPITAL)
Doing business as
Western Maryland Health System Extended Care Unit
Practice address
900 Seton Dr
Cumberland, MD 21502-1854
Phone
(301) 723-4200
Fax
(301) 723-6195
NPI assigned
Apr 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly S Repac
Title
Sr. VP Cfo
Phone
(301) 723-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 01-016 MD Primary

Addresses

Primary practice location

900 Seton Dr
Cumberland, MD 21502-1854

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
59061101OtherMDBLUE CROSS ECU
MP9OtherMDBLUE CHOICE FEDERAL

Other names 1

  • Western Maryland Health System Extended Care Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychaitric Physician S19 organizations share this tax ID, including this one

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487611828",
    "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": "301-723-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021854",
            "telephone_number": "301-723-4200",
            "fax_number": "301-723-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMHS BRADDOCK HOSPITAL CORPORATION (FORMERLY SACRED HEART HOSPITAL)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "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": "301-723-1443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "01-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ECU",
            "identifier": "59061101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE FEDERAL",
            "identifier": "MP9",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maryland Health System Extended Care Unit",
            "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 Aug 22, 2020; 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.