NPIMap

Upmc Western Maryland Corporation

Organization Active NPI General Acute Care Hospital · Cumberland, MD

NPI 1609831247 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1609831247
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
01-007 (MD)
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Practice address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone
(240) 964-8342
Fax
(240) 964-8337
NPI assigned
Apr 18, 2006
Organization subpart
No

Authorized official

Name
Mrs. Amber Ruble
Title
Sr. VP Cfo
Phone
(240) 964-8032

Owners & managing parties with NPI records 3

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

Other NPIs on the same Medicare enrollment 7

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 18

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

Facilities with the same owner 63

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 63

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 108

Affiliated clinicians 389

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 389

Medicare Care Compare: Hospital

Listed as
Western Maryland Regional Medical Center CCN 210027
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD

Hospital certification: CCN 210027

Legal name
UPMC WESTERN MARYLAND CORPORATION
Doing business as
UPMC WESTERN MARYLAND
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 13, 1993
Beds
240
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Mar 14, 1905 in MD
Enrollment address
12500 Willowbrook Road
Cumberland, MD 21502-6393
Other Hospital Practice Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Keith Funkhouser
Individual 		Corporate Officer
Treasurer		 Jan 23, 2020
Corporate Director
Board Member		 May 24, 2014
John Pappas
Individual 		Corporate Director
Board Member		 Jan 1, 2016
Carissa L Rodeheaver
Individual 		Corporate Director Aug 2, 2021
Richard John Wadas
Individual 		Corporate Director Sep 22, 2022
Courtney Thomas Winterberg
Individual 		Corporate Director
Board Member		 Mar 28, 2013
Kim Leonard
Individual 		Corporate Director
Board Member		 Jul 27, 2018
Amber Ruble
Individual 		Corporate Officer
Cfo		 Jun 26, 2021
W-2 Managing Employee
Cfo		 Jun 26, 2021
David Landon Burwell
Individual 		Corporate Director
Board Member		 Feb 1, 2020
Jonathan Hutcherson
Individual 		Corporate Director
Board Member		 Jul 1, 2016
Rolf Haarstad
Individual 		Corporate Officer
Chair		 Jul 1, 2016
Corporate Director
Board Member		 Oct 6, 2010
David P Gibbons
Individual 		Corporate Director Mar 21, 2024
Mary Anne Jenkins
Individual 		Corporate Officer
Vice Chair		 Jul 1, 2017
Corporate Director
Board Member		 Dec 12, 2013
Upmc
Organization · Pittsburgh, PA
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Michele Martz
Individual 		W-2 Managing Employee
President		 Mar 26, 2021
Eileen Simmons
Individual 		Corporate Director
Board Member		 Feb 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040608000157 MD Part B Supplier - Clinic/Group Practice 7113900655 Receives reassigned benefits from 251 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lavale, MD; Oakland, MD; MC Henry, MD; Lonaconing, MD; Frostburg, MD; Cumberland, MD
O20070614000318 MD Part a Provider - Hospital 7113900655 3 other NPIs on this enrollment
Practice locations: Cumberland, MD

National Provider Directory

Tax ID family
Steon Medical Practice (19 organizations share this tax ID)

Locations

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

12400 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8342

12502 Willowbrook Rd
Ste 590
Cumberland, MD 21502
Phone (240) 964-8631

12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

10700 Leslie Ln
Cumberland, MD 21502
Phone (240) 362-7588

12502 Willowbrook Rd
Fl 2
Cumberland, MD 21502

12502 Willowbrook Rd
Ste 330
Cumberland, MD 21502
Phone (240) 964-8740

12502 Willowbrook Rd
Ste 600
Cumberland, MD 21502
Phone (240) 964-8944

101 Braddock Rd
Frostburg, MD 21532
Phone (301) 687-3228

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 01-007 MD Yes

Addresses

Primary practice location

12500 Willowbrook Rd
Cumberland, MD 21502-6393

Mailing address

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8342

Other identifiers

IdentifierTypeStateIssuer
1007719160003MedicaidPA
0001495000MedicaidWV
217404OtherMAMSI ALLIANCE MDIPA OP C
000355700MedicaidMD
199661816918MedicaidPA
57347101OtherMDBLUE CROSS
MB9OtherMDBLUE CHOICE FEDERAL
030300200OtherFEDERAL BLACK LUNG
1007719160017MedicaidPA

Other names

  • UPMC Western Maryland Doing business as
  • Western Maryland Regional Medical Center Doing business as

Other providers in Cumberland, MD

All providers in Cumberland, MD · General Acute Care Hospital in Maryland

Sources for this page

Verify at the official NPI Registry.