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Organization

UPMC WESTERN MARYLAND CORPORATION

Active
Parent organization
UPMC WESTERN MARYLAND CORPORATION
Other names
WMHS Behavioral Health Services, UPMC Western Maryland
Organization subpart
Yes

Provider details

NPI number
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Authorized official
AMBER RUBLE (SR. VP CFO)
(240) 964-8032
Entity
Organization

Contact information

Practice address
12502 WILLOWBROOK RD, SUITE 380, CUMBERLAND, MD 21502-6393
(240) 964-8585
(240) 964-8586
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8585
(240) 964-8586

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103G00000X
Clinical Neuropsychologist
MD
103T00000X
Psychologist
MD
1041C0700X
Clinical Social Worker
MD
2084P0800X
Psychiatry Physician
Primary
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407340100
MD
05
653131800
MD
01
C10132 CE7390
RAILROAD MEDICARE
MD
01
KN31
CAREFIRST BC BS
MD
01
M093
BLUE CHOICE
DC
Enumeration date
02/21/2007
Last updated
10/20/2022
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