UPMC WESTERN MARYLAND
NPI 1174667802
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cumberland, MD

NPI Status: Active since February 16, 2007

Contact Information

12502 WILLOWBROOK RD
SUITE 250
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-8342
Fax: (240) 964-8337

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About UPMC WESTERN MARYLAND

This page provides the complete NPI Profile along with additional information for Upmc Western Maryland, a provider established in Cumberland, Maryland operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1174667802 assigned on February 2007. The practitioner's primary taxonomy code is 261QE0700X with license number CERTIFICATION #44 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Upmc Western Maryland. The authorized official of this NPI record is Amber Renee Ruble (Sr. Vp Cfo)

NPI
1174667802
Provider Legal Name
UPMC WESTERN MARYLAND CORPORATION
Other Organization Name
UPMC WESTERN MARYLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12502 WILLOWBROOK RD SUITE 250 CUMBERLAND, MD 21502
Location Phone
(240) 964-8342
Location Fax
(240) 964-8337
Mailing Address
12502 WILLOWBROOK RD SUITE 250 CUMBERLAND, MD 21502
Mailing Phone
(240) 964-8342
Mailing Fax
(240) 964-8337
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-16-2007
Last Update Date
01-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
CERTIFICATION #44
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER RENEE RUBLE

Authorized Official Title
SR. VP CFO
Authorized Official Phone
(240) 964-8032

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
59010001OTHER (01)MDCAREFIRST BC BS
MB4OTHER (01)DCBLUE CHOICE
759251500MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174667802, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 6 + 1 + 4 + 8 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174667802.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
12502 WILLOWBROOK RD, SUITE 640
CUMBERLAND, MD 21502
Otolaryngology
12502 WILLOWBROOK RD, STE 560
CUMBERLAND, MD 21502
Specialist
12502 WILLOWBROOK RD, SUITE 640
CUMBERLAND, MD 21502
Internal Medicine (Medical Oncology)
12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502
Surgery
12502 WILLOWBROOK RD, 670
CUMBERLAND, MD 21502
Thoracic Surgery (Cardiothoracic Vascular Surgery)
12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502
Internal Medicine (Pulmonary Disease)
12502 WILLOWBROOK RD, SUITE #280
CUMBERLAND, MD 21502
Internal Medicine (Pulmonary Disease)
12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502
Internal Medicine (Hematology & Oncology)
12502 WILLOWBROOK RD, SUITE 440
CUMBERLAND, MD 21502
Physician Assistant
12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502
Nurse Practitioner (Psychiatric/Mental Health)
12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502
Dietitian, Registered
12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502
Otolaryngology
12502 WILLOWBROOK RD, SUITE 560
CUMBERLAND, MD 21502
Clinic/Center (Federally Qualified Health Center (FQHC))
12502 WILLOWBROOK RD, SUITE 550, 5TH FLR
CUMBERLAND, MD 21502
Nurse Practitioner (Adult Health)
12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502
Obstetrics & Gynecology (Gynecology)
12502 WILLOWBROOK RD, SUITE 660
CUMBERLAND, MD 21502
Thoracic Surgery (Cardiothoracic Vascular Surgery)
12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502
Nurse Practitioner
12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502
Counselor (Professional)
12502 WILLOWBROOK RD, SUITE 380
CUMBERLAND, MD 21502
Counselor (Professional)
12502 WILLOWBROOK RD, SUITE 380
CUMBERLAND, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174667802, enumerated as an "organization" on February 16, 2007.

The provider is located at 12502 WILLOWBROOK RD SUITE 250 CUMBERLAND, MD 21502 and the phone number is (240) 964-8342.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.