NPIMap

Organization Active NPI

Carroll Hospital Center, Inc.

  • General Acute Care Hospital
  • Westminster, MD
National Provider Identifier
1912904210
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06002 Issued in MD
Legal business name
CARROLL HOSPITAL CENTER, INC.
Practice address
200 Memorial Ave
Westminster, MD 21157
Phone
(410) 848-3000
Fax
(410) 871-6226
NPI assigned
Jun 30, 2005
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Michael Myers
Title
Vice President of Finance
Phone
(410) 848-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 06002 MD Primary

Addresses

Primary practice location

200 Memorial Ave
Westminster, MD 21157

Mailing address

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Other identifiers 1

IdentifierTypeStateIssuer
404990000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040724000378 MD Part A Provider - Hospital 9931001047 Practice locations: Westminster, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912904210. Details of each certification follow.

Hospital certification: CCN 210033

Legal name
CARROLL HOSPITAL CENTER, INC.
Doing business as
CHC MED LAB
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 16, 1992
Beds
158
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1961 in MD
Enrollment address
200 Memorial Ave
Westminster, MD 21157-5726
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Carroll Hospital CenterCCN 210033 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Carrol Hosp Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Zirpoli Individual Corporate DirectorBoard Member Jul 1, 2017
Carroll County Health Services Corp Organization, Westminster, MD Non-profit Other Mar 5, 1986
Neil M Meltzer Individual Corporate DirectorBoard Member Apr 1, 2015
Lifebridge Health Inc Organization, Owings Mills, MD Corporation Other Apr 1, 2015 100%
Laura Callahan Individual Operational/Managerial ControlCheif Compliance Officer Jan 8, 2021
Susan Chambers Individual Corporate DirectorBoard Member Jul 1, 2023
Martin Hill Individual Corporate DirectorBoard Member Oct 1, 2011
Drewry J. White Individual Corporate DirectorBoard Member Jul 1, 2016
Garrett W Hoover Individual Corporate OfficerPresident Mar 1, 2020 100%
Mark Debinski Individual Corporate DirectorBoard Member Jul 1, 2023
Deborah Seidel Individual Corporate DirectorBoard Member Jul 1, 2023
Stanley H Tevis Individual Corporate DirectorBoard Member Jul 1, 2017
Kiran Gupta Kuna Individual Corporate DirectorBoard Member Jul 1, 2023
Marcus Primm Individual Corporate DirectorBoard Member Dec 1, 2014
David Bollinger Individual Corporate DirectorBoard Member Jul 1, 2016
Brian Moffet Individual Corporate DirectorBoard Member Jul 1, 2023
Joseph Z Koons Individual Operational/Managerial ControlCheif Revenue Officer Jul 1, 2020
Pamela Goldhammer Individual W-2 Managing EmployeePayor Credentialing Specialist Oct 19, 2020
Cris Coleman Individual Corporate OfficerAvp Finance Apr 1, 2015
W-2 Managing Employee Oct 26, 2017
Christopher T Grove Individual Corporate DirectorBoard Member Jul 1, 2023
Michael D Myers Individual Corporate OfficerVP Reg Report/Reimburse/Cfo Apr 4, 2016
W-2 Managing EmployeeVP Regulatory Reporting Cfo Carroll Apr 4, 2016
Alec Yeo Individual Corporate DirectorBoard Member Jul 1, 2017
Todd L Herring Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Bridginglife, Inc.Westminster, MD, CCN 211522 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 22, 1988
Apr 22, 1988

Owned or controlled facilities with NPI records 1

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

  • Bridginglife, Inc.
    • Community Based Hospice Care Agency
    • Westminster, MD
    • NPI 1437156775

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 45

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 45

Affiliated clinicians 317

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 317

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1912904210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-3000",
            "fax_number": "410-871-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-3000",
            "fax_number": "410-871-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HOSPITAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "410-848-3000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "06002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404990000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS edMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.