West Cecil Health Center Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Conowingo, MD
NPI 1780448472 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1780448472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- WEST CECIL HEALTH CENTER INC.
- Practice address
- 49 Rock Springs Rd
Conowingo, MD 21918-1352 - Phone
- (410) 378-9696
- Fax
- (410) 378-0787
- NPI assigned
- Feb 12, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST CECIL HEALTH CENTER INC.
Authorized official
- Name
- John Ness
- Title
- President & Ceo
- Phone
- (443) 731-2971
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 8
Practitioners 8
-
Olamipo Odebode, DNP PMHNP-BC
-
Gemma Melanie Armstrong, D.O.
-
Kericia Hall-Chambers, CRNP
-
Jessica Ann Russell, CRNP- FAMILY
-
Ruth Laine Scott-Nelson, CRNP-F- PMH
-
Amy Wiley, FNP-C
-
Mozella Williams, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- West Cecil Health Center Inc
- Part of
- West Cecil Health Center Inc
Locations
49 Rock Springs Rd
Conowingo, MD 21918
Phone (877) 622-8484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
49 Rock Springs Rd
Conowingo, MD 21918-1352
Mailing address
PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696
Other providers in Conowingo, MD
- Grant J Walter
- Alison Victoria Watson
- West Cecil Health Center Inc.
- West Cecil Health Center Inc.
- West Cecil Health Center Inc.
- West Cecil Pharmacy
- Monica Wiggins
- Amy Wiley
- Mozella Williams
- Torianne Miranda Yetter
All providers in Conowingo, MD · Federally Qualified Health Center (FQHC) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.