Organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Active
Parent organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Other names
BHCentre Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Authorized official
KIMBERLY S REPAC (SR VP CFO)
(301) 723-6414
Entity
Organization
Contact information
Practice address
53 N CENTRE ST, CUMBERLAND, MD 21502-2305
(301) 777-7071
(301) 723-1480
Mailing address
900 SETON DR, CUMBERLAND, MD 21502-1854
(301) 723-4200
(301) 723-1480
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61636306
CAREFIRST BC BS
MD
01
—
H857 0001
FEDERAL BC BS
DC
Enumeration date
02/27/2007
Last updated
04/20/2008
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