Med 1St Walkin Clinic and Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MED 1ST WALKIN CLINIC AND PRIMARY CARE

Practice address

15 S Centre St
Cumberland, MD 21502-3017

Phone

(240) 362-7279

Fax

(240) 362-7096

NPI assigned

May 31, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Billie Fuller

Title

Authorized Official

Phone

(301) 268-4064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Med 1St Walk-in Clinic and Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Med 1St Walkin Clinic and Primary Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumberland, MD
  • NPI 1912628256
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy R Hunt, CRNP

  • Nurse Practitioner
  • Cumberland, MD
  • NPI 1144465600
  Medicare reassignment Care Compare group NPD
• Crystal Lynne Walls, CRNP

  • Family Nurse Practitioner
  • Cumberland, MD
  • NPI 1396222998
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1831838762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S CENTRE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023017",
            "telephone_number": "240-362-7279",
            "fax_number": "240-362-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S CENTRE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023017",
            "telephone_number": "240-362-7279",
            "fax_number": "240-362-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED 1ST WALKIN CLINIC AND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-268-4064"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy L McMillan, LMSW
• Patience McMillan
• Skylynn McMillan
• Donna Jean McTaggart
• Stephanie Lynn McVicker, FNP-C
• Med 1St Walkin Clinic and Primary Care
• Medacute Care LLC
• Erin Louise Meisel, PHARMD
• Memorial Hospital and Medical Center of Cumberland Inc (Memorial Hospital Orthopaedic Physicians)
• Memorial Hospital and Medical Center of Cumberland Inc (Memorial Hospital Physician Group)

• Family Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.