Upmc Western Maryland | |
1050 W Industrial Blvd Cumberland MD 21502-4331 | |
(240) 964-9355 | |
(240) 964-9356 |
Full Name | Upmc Western Maryland |
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Speciality | Physiological Laboratory |
Location | 1050 W Industrial Blvd, Cumberland, Maryland |
Authorized Official Name and Position | Amber R Ruble (SR. VP CFO) |
Authorized Official Contact | 2409648032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upmc Western Maryland Po Box 539 Cumberland MD 21501-0539 Ph: (240) 964-8342 | Upmc Western Maryland 1050 W Industrial Blvd Cumberland MD 21502-4331 Ph: (240) 964-9355 |
NPI Number | 1083936629 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 02/10/2022 |
Medicare PECOS PAC ID | 7113900655 |
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Medicare Enrollment ID | O20200401001935 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083936629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
293D00000X | Physiological Laboratory | 21D0666168 (Maryland) | Primary |
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