Organization
WESTERN MARYLAND HEALTH CARE CORPORATION
Active
Organization
WESTERN MARYLAND HEALTH CARE CORPORATION
Active
Other names
Mountain Laurel Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE K DIXON CRNP (CEO)
(301) 533-3300
Entity
Organization
Contact information
Practice address
28 HERSHBERGER LN, GRANTSVILLE, MD 21536-1172
(301) 895-5107
(833) 448-0359
Mailing address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(833) 448-0361
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103007026001
—
PA
05
—
3810007182
—
WV
05
—
410467600
—
MD
01
—
7118
CAREFIRST BC/BS
MD
Enumeration date
07/10/2014
Last updated
03/04/2026
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