Organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Active
Parent organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Other names
WMHS Adult Medical Day Care
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
300 E OLDTOWN RD, CUMBERLAND, MD 21502-3600
(301) 722-0199
(301) 759-3623
Mailing address
300 E OLDTOWN RD, CUMBERLAND, MD 21502-3600
(301) 722-0199
(301) 759-3623
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V613P3836
VETERAN'S ADMINISTRATION
MD
Enumeration date
04/02/2007
Last updated
07/31/2007
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