| Western Maryland Health Care Corporation | |
|
104 Parkview Dr Grantsville MD 21536-1086 | |
| (301) 895-5107 | |
| (833) 448-0361 |
| Full Name | Western Maryland Health Care Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Parkview Dr, Grantsville, Maryland |
| Authorized Official Name and Position | Brian G Bailey (CEO) |
| Authorized Official Contact | 3015333300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Maryland Health Care Corporation 1027 Memorial Dr Oakland MD 21550-4343 Ph: (301) 533-3300 | Western Maryland Health Care Corporation 104 Parkview Dr Grantsville MD 21536-1086 Ph: (301) 895-5107 |
| NPI Number | 1053727065 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 9436152493 |
|---|---|
| Medicare Enrollment ID | O20141030001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053727065 | NPI | - | NPPES |
| 3810007182 | Medicaid | WV | |
| 103007026001 | Medicaid | PA | |
| 410467600 | Medicaid | MD | |
| 7118 | Other | MD | CAREFIRST BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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