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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