NPIMap

Organization Active NPI

Memorial Hospital and Medical Center of Cumberland, Inc.

  • General Acute Care Hospital
  • Cumberland, MD
National Provider Identifier
1669437216
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
01-006 Issued in MD
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(301) 723-4000
Fax
(301) 723-1480
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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) 723-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 01-006 MD Primary

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

600 Memorial Ave
Cumberland, MD 21502-3765
Phone (301) 723-4000

Other identifiers 5

IdentifierTypeStateIssuer
217125OtherMDALLIANCE MAMSI MDIPA OPC
MB4OtherMDBLUE CHOICE FEDERAL
0001768000MedicaidWV
1007410690004MedicaidPA
59010201OtherMDBLUE CROSS

Other names 1

  • MEMORIAL HOSP MED CTR HOSP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 210025

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MEMORIAL HOSPITAL & MEDICAL CENTER OF CUMBERLAND
Certification status
Terminated Voluntary: merger or closure, Nov 21, 2009
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 21, 1992
Beds
222
Ownership / control type
Private (not for profit)
Facility address
600 Memorial Ave
Cumberland, MD 21502

National Provider Directory

National Provider Directory

Locations

600 Memorial Ave
Cumberland, MD 21502
Phone (301) 723-4000

11 Hunt Club Plz
Ridgeley, WV 26753
Phone (304) 726-4501

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

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": "1208649600000",
    "number": "1669437216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4000",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4000",
            "fax_number": "301-723-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-04-20",
        "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": "301-723-6414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "01-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE MAMSI MDIPA OPC",
            "identifier": "217125",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE FEDERAL",
            "identifier": "MB4",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001768000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007410690004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59010201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIAL HOSP MED CTR HOSP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.