NPIMap

Organization Active NPI

Memorial Hospital and Medical Center of Cumberland, Inc.

Doing business as Memorial Hosp Diag Svcs

  • Physiological Laboratory
  • Cumberland, MD
National Provider Identifier
1790829430
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Doing business as
Memorial Hosp Diag Svcs
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(301) 723-1443
Fax
(301) 723-1480
NPI assigned
Feb 16, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPTIAL AND MEDICAL CENTER OF CUMBERLAND INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Kimbeley S Repac
Title
Sr VP Cfo
Phone
(301) 723-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X MD Primary

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

600 Memorial Ave
Cumberland, MD 21502-3765
Phone (301) 723-1443

Other identifiers 2

IdentifierTypeStateIssuer
000295000MedicaidMD
000176800MedicaidWV

Other names 1

  • Memorial Hosp Diag Svcs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hunt Club9 organizations share this tax ID, including this one
Part of
Hunt Club

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1790829430",
    "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": "301-723-1443",
            "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": "301-723-1443",
            "fax_number": "301-723-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPTIAL AND MEDICAL CENTER OF CUMBERLAND INC.",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "KIMBELEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "301-723-1443"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000295000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000176800",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hosp Diag Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.