Organization
COMPTROLLER OF MARYLAND, CENTRAL PAYROLL BUREAU
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up