Organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Active
Parent organization
WESTERN MARYLAND HEALTH BRADDOCK HOSPITAL CORPORTATION
Other names
WMHS Braddock Hospital Diagnostic Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MARYLAND HEALTH BRADDOCK HOSPITAL CORPORTATION
Authorized official
KIMBERLEY S REPAC (SR VP CFO)
(240) 964-8342
Entity
Organization
Contact information
Practice address
900 SETON DR, CUMBERLAND, MD 21502-1854
(240) 964-8342
(240) 964-8337
Mailing address
900 SETON DR, CUMBERLAND, MD 21502-1854
(240) 964-8342
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
MD
291U00000X
Clinical Medical Laboratory
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61636304
CAREFIRST FHC LAB
MD
01
—
61636306
CAREFIRST CENTRE ST LAB
MD
01
—
62018801 KFA5SA
CAREFIRST FHC X-RAY
MD
01
—
H856 0001
BLUE CHOICE X-RAY FHC
DC
01
—
H857 0001
BLUE CHOICE LABORATORY
DC
01
—
W474SA
FHC CAREFIRST GRP.
MD
Enumeration date
02/16/2007
Last updated
09/30/2009
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