Organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Active
Parent organization
WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION
Other names
WMHS Wellness Center
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)
(304) 723-6414
Entity
Organization
Contact information
Practice address
915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
(301) 723-6510
(301) 724-4791
Mailing address
915 BISHOP WALSH RD, CUMBERLAND, MD 21502-1805
(301) 723-6510
(301) 724-4791
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G362
FEDERAL BC BS
DC
01
—
KM37SE
CAREFIRST BC BS
MD
Enumeration date
03/29/2007
Last updated
07/31/2007
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