# 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:** Western Maryland Trauma Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700970829
- **Legal business name:** MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
- **Authorized official:** W. GARY MILLER (DIRECTOR, BUSINESS OPERATIONS)
- **Authorized official phone:** (301) 723-1615

## Contact information

- **Practice address:** 600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
- **Practice address phone:** (301) 723-4000
- **Practice address fax:** (301) 723-4939
- **Mailing address:** 600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
- **Mailing address phone:** (301) 723-4000
- **Mailing address fax:** (301) 723-4939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 07/31/2007

## 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 |