NPIMap

Organization Active NPI

Western Maryland Health System Corporation

Doing business as Western Maryland Health System Hospice Physician

  • Inpatient Hospice
  • Cumberland, MD
National Provider Identifier
1952516296
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
H1534 Issued in MD
Legal business name
WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Doing business as
Western Maryland Health System Hospice Physician
Practice address
1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone
(240) 964-9000
Fax
(240) 964-8851
NPI assigned
May 11, 2007
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN MARYLAND HEALTH SYSTEM CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Kimberly S Repac
Title
Sr. VP Cfo
Phone
(240) 964-7233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X H1534 MD
Inpatient Hospice 315D00000X H1534 MD Primary

Addresses

Primary practice location

1050 W Industrial Blvd
Cumberland, MD 21502-4331

Mailing address

1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (240) 964-9000

Other identifiers 1

IdentifierTypeStateIssuer
794091200MedicaidMD

Other names 1

  • Western Maryland Health System Hospice Physician Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychaitric Physician S19 organizations share this tax ID, including this one
Part of
Psychaitric Physician S

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1952516296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9000",
            "fax_number": "240-964-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9000",
            "fax_number": "240-964-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MARYLAND HEALTH SYSTEM CORPORATION",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR. VP CFO",
        "authorized_official_telephone_number": "240-964-7233"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1534",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MD",
            "license": "H1534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794091200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maryland Health System Hospice Physician",
            "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 Feb 23, 2012; 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.