NPIMap

Organization Active NPI

Upmc Western Maryland Corporation

Doing business as UPMC Western Maryland

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
National Provider Identifier
1740969245
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Doing business as
UPMC Western Maryland
Practice address
625 Kent Ave Ste 102
Cumberland, MD 21502-3798
Phone
(240) 964-1800
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

625 Kent Ave Ste 102
Cumberland, MD 21502-3798

Mailing address

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

Other names 1

  • UPMC Western Maryland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000318 MD Part A Provider - Hospital 7113900655 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740969245. 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 on the same Medicare enrollment 3

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
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

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.

Practitioners & affiliated clinicians

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": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1740969245",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 102",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023798",
            "telephone_number": "240-964-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Western Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.