# MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
- **Other names:** Memorial Hospital Orthopaedic Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003936725
- **Legal business name:** MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
- **Authorized official:** MRS. KIMBERLY S REPAC (SR VP CFO)
- **Authorized official phone:** (301) 723-6414

## Contact information

- **Practice address:** 600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
- **Practice address phone:** (301) 723-4100
- **Practice address fax:** (301) 723-1480
- **Mailing address:** 600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
- **Mailing address phone:** (301) 723-4100
- **Mailing address fax:** (301) 723-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0043316000 | — | WV |
| 01 | — | CH1651 CC2609 | TRAVELERS MEDICARE | MD |
| 01 | — | E458 | FEDERAL BC BS | DC |
| 01 | — | KV04ME | BC BS | MD |