WESTERN MARYLAND HEALTH CARE CORPORATION
NPI 1053727065
Clinic/Center - Federally Qualified Health Center (FQHC) in Grantsville, MD

Active since July 10, 2014CLIA Certified · 3 labs
28 HERSHBERGER LN, GRANTSVILLE, MD 21536(301) 895-5107(833) 448-0359 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Jan 21, 2026, Aug 14, 2024 and 7 more (10 updates tracked since 2016).

About Western Maryland Health Care Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN MARYLAND HEALTH CARE CORPORATION (NPI 1053727065), doing business as Mountain Laurel Medical Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Grantsville, Maryland and active in the NPI registry since July 2014. The organization holds 3 active CLIA laboratory certificates and lists Michelle K Dixon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053727065
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWESTERN MARYLAND HEALTH CARE CORPORATION
Location Address28 HERSHBERGER LNGrantsville, MD 21536-1172
Mailing Address1027 Memorial DrOakland, MD 21550-4343 · (301) 533-3300 · Fax (833) 448-0361
Fax(833) 448-0359
Organization SubpartNo
Authorized OfficialMichelle K DixonCeo · (301) 533-3300
Enumeration DateJuly 10, 2014
Last NPPES UpdateMarch 4, 202610 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1053727065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
28 HERSHBERGER LN, Grantsville, MD 21536

Other Names 1

Doing Business AsMountain Laurel Medical Center

Other Identifiers 4

Medicaid3810007182WV
Medicaid103007026001PA
Medicaid410467600MD
Other7118MD · Carefirst Bc/bs

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2086541

Western Maryland Healthcare Corporation Dba Mounta · Grantsville, MD
Active · expires Nov 4, 2026
CLIA Number21D2086541
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorSarah M. Call
Laboratory Phone(301) 533-3300
Laboratory LocationWestern Maryland Healthcare Corporation Dba Mounta28 Hershberger Lane, Grantsville, MD 21536
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 51D2071429

Western Maryland Healthcare Corporation Dba Mountain Laurel Medical Center · Bruceton Mills, WV
Active · expires Feb 9, 2027
CLIA Number51D2071429
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorDr. Christopher M. Ferrell
Laboratory Phone(301) 533-3300
Laboratory LocationWestern Maryland Healthcare Corporation Dba Mountain Laurel Medical Center198 Morgantown Street Suite 2, Bruceton Mills, WV 26525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2165805

Western Maryland Healthcare Corporation Dba Mounta · Westernport, MD
Active · expires May 6, 2027
CLIA Number21D2165805
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorSarah Call
Laboratory Phone(301) 533-3300
Laboratory LocationWestern Maryland Healthcare Corporation Dba Mounta22221 Westernport Rd SW, Westernport, MD 21562
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
28 HERSHBERGER LN
GRANTSVILLE, MD 21536
Pharmacy (Community/Retail Pharmacy)
28 HERSHBERGER LN
GRANTSVILLE, MD 21536
Social Worker
28 HERSHBERGER LN
GRANTSVILLE, MD 21536
Psychiatry & Neurology (Psychiatry)
28 HERSHBERGER LN
GRANTSVILLE, MD 21536
Nurse Practitioner (Family)
28 HERSHBERGER LN
GRANTSVILLE, MD 21536
Family Medicine
28 HERSHBERGER LN
GRANTSVILLE, MD 21536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Maryland Health Care Corporation's NPI number?

The NPI number for Western Maryland Health Care Corporation is 1053727065. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Mountain Laurel Medical Center.

Where is Western Maryland Health Care Corporation located?

Western Maryland Health Care Corporation is located at 28 Hershberger Ln, Grantsville, MD 21536. The listed phone number is (301) 895-5107.

What is Western Maryland Health Care Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Western Maryland Health Care Corporation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Western Maryland Health Care Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, CareSource and Highmark Blue Cross Blue Shield West Virginia list Western Maryland Health Care Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Maryland Health Care Corporation was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.