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NPI Code Detail

MEDICARE: UPMC WESTERN MARYLAND CORPORATION

MEDICARE: UPMC WESTERN MARYLAND CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1293D00000XPhysiological Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162018801 KFA5SAOTHERMDCAREFIRST - X-RAY
2W474SA 61636304OTHERMDCAREFIRST - LAB
3H857 0001OTHERDCBLUE CHOICE

General Provider Information

NPI Number : 1639206410
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPMC WESTERN MARYLAND CORPORATION
Provider Business Mailing Address
First Line : PO BOX 539
Second Line :
City : CUMBERLAND
State : MD
Zip : 21501-0539
Country : US
Telephone Number : 240-964-8343
Fax Number : 240-964-8338
Provider Business Practice Location Address
First Line : 10701 NEW GEORGES CREEK RD SW
Second Line :
City : FROSTBURG
State : MD
Zip : 21532-1457
Country : US
Telephone Number : 301-689-3229
Fax Number : 301-723-1480
Authorized Official
Title or Position : SR. VP. CFO
Name : AMBER R RUBLE
Credential :
Telephone Number : 240-964-8032
Provider Enumeration Date : 02/27/2007
Last Update Date : 02/10/2022

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Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457
Practice Phone: 301-689-3229
Practice Fax: 301-689-1129
1811957202 — JENNIFER L BARLOW CRNP
Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
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Practice Fax: 301-689-1129
1811942147 — JASON A LAYMAN CRNP
Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457
Practice Phone: 301-689-3229
Practice Fax: 301-689-1129
1952495079 — UPMC WESTERN MARYLAND CORPORATION
Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457
Practice Phone: 301-689-3229
Practice Fax: 301-689-1129
1043370745 — JENNIFER SUE MILLER PA - C
Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457
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Practice Fax: 301-689-1129
1194858266 — SUSAN M MCMULLEN CRNP
Practice Location Address:
10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457
Practice Phone: 301-689-3229
Practice Fax: 301-689-1129

Directions to “UPMC WESTERN MARYLAND CORPORATION ” Practice Location

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