Organization Name: | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
NPI Number: | 1346341716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY S REPAC (SR VP CFO) |
Mailing Address: | 11 Hunt Club Plz Ridgeley |
State: | WV US |
Postal Code: | 267535213 |
Phone Number: | 3047264501 |
Fax Number: | 3047264051 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |