# WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
- **Other names:** WMHS Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811017593
- **Legal business name:** WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
- **Authorized official:** KIMBERLY S REPAC (SR VP CFO)
- **Authorized official phone:** (304) 723-6414

## Contact information

- **Practice address:** 915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
- **Practice address phone:** (301) 723-6510
- **Practice address fax:** (301) 724-4791
- **Mailing address:** 915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
- **Mailing address phone:** (301) 723-6510
- **Mailing address fax:** (301) 724-4791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 07/31/2007
