Organization
WMHS BRADDOCK HOSPITAL CORPORATION (FORMERLY SACRED HEART HOSPITAL)
Active
Other names
Western Maryland Health System Extended Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY S REPAC (SR. VP CFO)
(301) 723-1443
Entity
Organization
Contact information
Practice address
900 SETON DR, CUMBERLAND, MD 21502-1854
(301) 723-4200
(301) 723-6195
Mailing address
900 SETON DR, CUMBERLAND, MD 21502-1854
(301) 723-4200
(301) 723-6195
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
01-016
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59061101
BLUE CROSS ECU
MD
01
—
MP9
BLUE CHOICE FEDERAL
MD
Enumeration date
04/28/2006
Last updated
08/22/2020
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