# WESTERN MARYLAND HEALTH SYSTEM CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN MARYLAND HEALTH SYSTEM CORPORATION
- **Other names:** WMHS Urgent Care Services - Hunt Club Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346341716
- **Legal business name:** WESTERN MARYLAND HEALTH SYSTEM CORPORATION
- **Authorized official:** KIMBERLY S REPAC (SR VP CFO)
- **Authorized official phone:** (240) 964-8003

## Contact information

- **Practice address:** 45 HUNT CLUB DR, RIDGELEY, WV 26753-7567
- **Practice address phone:** (304) 726-4501
- **Practice address fax:** (304) 726-4051
- **Mailing address:** 45 HUNT CLUB DR, RIDGELEY, WV 26753-7567
- **Mailing address phone:** (304) 726-4501
- **Mailing address fax:** (304) 726-4051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 10/02/2019