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Organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Active
Organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Active
Parent organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Other names
Western Maryland Trauma Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Authorized official
W. GARY MILLER (DIRECTOR, BUSINESS OPERATIONS)
(301) 723-1615
Entity
Organization
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4000
(301) 723-4939
Mailing address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4000
(301) 723-4939
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066418000
—
WV
01
—
C13509
TRAVELERS MEDICARE
MD
01
—
J536
FEDERAL BC BS
DC
01
—
KEY8TR
CAREFIRST BC BS
MD
Enumeration date
10/03/2006
Last updated
07/31/2007
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