NPIMap

Organization Active NPI

Comptroller of Maryland Central Payroll Bureau

Doing business as Eastern Shore Hospital Center

  • Psychiatric Hospital
  • Cambridge, MD
National Provider Identifier
1841281680
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
09-003 Issued in MD
Legal business name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Doing business as
Eastern Shore Hospital Center
Practice address
5262 Woods Rd
Cambridge, MD 21613-3796
Phone
(410) 221-2300
Fax
(410) 221-2534
NPI assigned
Nov 1, 2005
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Ms. Mary Kay Noren, LCSW-C
Title
Chief Executive Officer
Phone
(410) 221-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 09-003 MD Primary

Addresses

Primary practice location

5262 Woods Rd
Cambridge, MD 21613-3796

Mailing address

5262 Woods Rd
Cambridge, MD 21613-3796
Phone (410) 221-2300

Other names 1

  • Eastern Shore Hospital Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040122000210 MD Part B Supplier - Clinic/Group Practice 7416859327 Receives reassigned benefits from 96 practitioners
17 other NPIs on this enrollment
Practice locations: Cumberland, MD; Sykesville, MD; Salisbury, MD; Hagerstown, MD; Catonsville, MD; Cambridge, MD
O20060105000569 MD Part A Provider - Hospital 7416859327 Practice locations: Cambridge, MD

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thomas B. Finan CenterCumberland, MD, CCN 214012 Hospital Operational/Managerial Control (100%) Oct 8, 1978
Spring Grove Hospital CenterCatonsville, MD, CCN 214018 Hospital Operational/Managerial Control (100%) Jun 15, 1981
Springfield Hospital CenterSykesville, MD, CCN 214004 Hospital Operational/Managerial Control (100%) Nov 14, 1994
Western Maryland Hospital CenterHagerstown, MD, CCN 212002 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Western Maryland S.N.C.F.Hagerstown, MD, CCN 215110 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 1966
Deer's Head Hospital CenterSalisbury, MD, CCN 215132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Charlotte Hall Veterans HomeCharlotte Hall, MD, CCN 215161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Jun 6, 2023
Jun 6, 2023
Jun 6, 2023
Jun 6, 2023

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1841281680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 WOODS RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133796",
            "telephone_number": "410-221-2300",
            "fax_number": "410-221-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 WOODS RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133796",
            "telephone_number": "410-221-2300",
            "fax_number": "410-221-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NOREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-221-2527",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "09-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Hospital Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.