Organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC
Active
Parent organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Other names
Memorial Hospital Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Authorized official
KIMBERLY S REPAC (SR VP CFO)
(301) 723-6414
Entity
Organization
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-1443
(301) 723-1480
Mailing address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-1443
(301) 723-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MD
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH1651
TRAVELERS MEDICARE
MD
01
—
E458
BLUE CHOICE
DC
01
—
KP01ME
CAREFIRST BC BS
MD
Enumeration date
02/21/2007
Last updated
07/31/2007
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