WESTERN MARYLAND HOSPITAL CENTER RENAL
NPI 1174514996
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hagerstown, MD

Q: What is Comptroller Of Maryland, Central Payroll Bureau's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since November 01, 2005CLIA 21D0220857 · Accreditation

1500 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742(301) 745-3748(301) 745-3598 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Western Maryland Hospital Center Renal NPPES

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

WESTERN MARYLAND HOSPITAL CENTER RENAL (NPI 1174514996) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hagerstown, Maryland and active in the NPI registry since November 2005. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Cynthia M Pellegrino, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174514996

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameCOMPTROLLER OF MARYLAND, CENTRAL PAYROLL BUREAU

Location Address1500 PENNSYLVANIA AVEHagerstown, MD 21742-3112

Mailing AddressPo Box 2964Salisbury, MD 21802-2964 · (410) 543-4132 · Fax (410) 543-4140

Phone(301) 745-3748

Fax(301) 745-3598

Organization SubpartNo

Authorized OfficialCynthia M PellegrinoChief Executive Officer · (301) 791-4410

Enumeration DateNovember 1, 2005

Last NPPES UpdateAugust 9, 2012

✔ NPI 1174514996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

License✔ Licensed in MD · 21013

1500 PENNSYLVANIA AVE, Hagerstown, MD 21742

Open in Google Maps ↗

Other Names 1

Doing Business AsWestern Maryland Hospital Center Renal

Other Identifiers 4

OtherPH7MD · Carefirst Bcbs Plans

Other02R7MD · Carefirst Bcbs Plans

Medicare ID-Type Unspecified212314MD

Medicaid472501800MD

CLIA Laboratory Certificates CMS CLIA

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 of Accreditation 21D0220857

Western Maryland Hospital Center · Hagerstown, MD

Active · expires Jan 2, 2027

CLIA Number21D0220857

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorSharif Ali

Laboratory Phone(301) 745-4908

Laboratory LocationWestern Maryland Hospital Center1500 Pennsylvania Avenue, Hagerstown, MD 21742

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU

Skilled Nursing Facility