NPIMap

Organization Active NPI

West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkton, MD
National Provider Identifier
1689160848
Registry record updated Jul 10, 2018
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.
Practice address
200 Road B
Elkton, MD 21921-6695
Phone
(410) 378-9696
Fax
(410) 378-0787
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST CECIL HEALTH CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
John Ness
Title
Ceo
Phone
(443) 731-2971

Specialties & licenses 1

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

Addresses

Primary practice location

200 Road B
Elkton, MD 21921-6695

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Part of
West Cecil Health Center Inc

Locations

200 Road B
Elkton, MD 21921

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1689160848",
    "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": "410-378-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROAD B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216695",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CECIL HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CECIL HEALTH CENTER INC.",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-731-2971"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.