Healthcare Provider Details

I. General information

NPI: 1912904210
Provider Name (Legal Business Name): CARROLL HOSPITAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMORIAL AVE
WESTMINSTER MD
21157
US

IV. Provider business mailing address

200 MEMORIAL AVE
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-3000
  • Fax: 410-871-6226
Mailing address:
  • Phone: 410-848-3000
  • Fax: 410-871-6226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number06002
License Number StateMD

VIII. Authorized Official

Name: MICHAEL MYERS
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 410-848-3000