NPIMap

Organization Active NPI

Upmc Western Maryland Corporation

Doing business as UPMC Western Maryland

  • General Acute Care Hospital
  • Cumberland, MD
National Provider Identifier
1609831247
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
01-007 Issued in MD
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Doing business as
UPMC Western Maryland
Western Maryland Regional Medical Center
Practice address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone
(240) 964-8342
Fax
(240) 964-8337
NPI assigned
Apr 18, 2006
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

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

Specialties & licenses 1

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

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 9

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

Other names 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609831247. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Mar 14, 1905 in MD
Enrollment address
12500 Willowbrook Road
Cumberland, MD 21502-6393
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 6

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Western Maryland Regional Medical CenterCCN 210027 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Western Maryland Health Sys19 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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

12502 Willowbrook Rd
Fl 2
Cumberland, MD 21502

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

12502 Willowbrook Rd
Ste 660
Cumberland, MD 21502
Phone (240) 964-8760

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

Ownership & related parties

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 OfficerTreasurer Jan 23, 2020
Corporate DirectorBoard Member May 24, 2014
John Pappas Individual Corporate DirectorBoard 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 DirectorBoard Member Mar 28, 2013
Kim Leonard Individual Corporate DirectorBoard Member Jul 27, 2018
Amber Ruble Individual Corporate OfficerCfo Jun 26, 2021
W-2 Managing EmployeeCfo Jun 26, 2021
David Landon Burwell Individual Corporate DirectorBoard Member Feb 1, 2020
Jonathan Hutcherson Individual Corporate DirectorBoard Member Jul 1, 2016
Rolf Haarstad Individual Corporate OfficerChair Jul 1, 2016
Corporate DirectorBoard Member Oct 6, 2010
David P Gibbons Individual Corporate Director Mar 21, 2024
Mary Anne Jenkins Individual Corporate OfficerVice Chair Jul 1, 2017
Corporate DirectorBoard 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 EmployeePresident Mar 26, 2021
Eileen Simmons Individual Corporate DirectorBoard Member Feb 1, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 63

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

View all 63

Practitioners & affiliated clinicians

Practitioners 105

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 105

Affiliated clinicians 389

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

View all 389

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1609831247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026393",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SR. VP CFO",
        "authorized_official_telephone_number": "240-964-8032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "01-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ALLIANCE MDIPA OP C",
            "identifier": "217404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE FEDERAL",
            "identifier": "MB9",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001495000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "030300200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007719160017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "57347101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007719160003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199661816918",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Western Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maryland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Maryland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.