Organization
COMPTROLLER OF MARYLAND, CENTRAL PAYROLL BUREAU
Active
Other names
Western Maryland Hospital Center Renal
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA M PELLEGRINO BSN MED (CHIEF EXECUTIVE OFFICER)
(301) 791-4410
Entity
Organization
Contact information
Practice address
1500 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3112
(301) 745-3748
(301) 745-3598
Mailing address
PO BOX 2964, SALISBURY, MD 21802-2964
(410) 543-4132
(410) 543-4140
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
21013
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02R7
CAREFIRST BCBS PLANS
MD
05
—
472501800
—
MD
01
—
PH7
CAREFIRST BCBS PLANS
MD
Enumeration date
11/01/2005
Last updated
08/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us