NPIMap

Upmc Western Maryland Corporation

Organization Active NPI Hearing and Speech Clinic/Center · Cumberland, MD

NPI 1740969245 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1740969245
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Practice address
625 Kent Ave Ste 102
Cumberland, MD 21502-3798
Phone
(240) 964-1800
NPI assigned
Jul 13, 2023
Organization subpart
No

Authorized official

Name
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 3

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

Corporate family (same tax ID) 18

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

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 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
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

National Provider Directory

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

Specialties & licenses

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

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

  • UPMC Western Maryland Doing business as

Other providers in Cumberland, MD

All providers in Cumberland, MD · Hearing and Speech Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.