NPIMap

Organization Active NPI

West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Perryville, MD
National Provider Identifier
1861932089
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST CECIL HEALTH CENTER INC.
Practice address
4863 Pulaski Hwy Ste 200
Perryville, MD 21903-1624
Phone
(410) 378-9696
Fax
(410) 378-0787
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST CECIL HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
John Ragnar Ness
Title
Interim Ceo/ Cfo
Phone
(443) 731-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4863 Pulaski Hwy Ste 200
Perryville, MD 21903-1624

Mailing address

PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Part of
West Cecil Health Center Inc

Locations

49 Rock Springs Rd
Conowingo, MD 21918
Phone (877) 622-8484

4863 Pulaski Hwy
Ste 200
Perryville, MD 21903

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1861932089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PULASKI HWY STE 200",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219031624",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CECIL HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CECIL HEALTH CENTER, INC",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAGNAR",
        "authorized_official_title_or_position": "INTERIM CEO/ CFO",
        "authorized_official_telephone_number": "443-731-2971"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.