UPMC WESTERN MARYLAND CORPORATION
NPI 1215558416
Clinic/Center in Ridgeley, WV

NPI Status: Active since April 29, 2020

Contact Information

45 HUNT CLUB DR
RIDGELEY, WV
ZIP 26753
Phone: (304) 726-4501
Fax: (304) 726-4051

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 51D0236940
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-31-2025

About UPMC WESTERN MARYLAND CORPORATION

This page provides the complete NPI Profile along with additional information for Upmc Western Maryland Corporation, a provider established in Ridgeley, West Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215558416 assigned on April 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Western Maryland Health System Corporation. The authorized official of this NPI record is Amber Ruble (Cfo)

NPI
1215558416
Provider Legal Name
UPMC WESTERN MARYLAND CORPORATION
Other Organization Name
WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
45 HUNT CLUB DR RIDGELEY, WV 26753
Location Phone
(304) 726-4501
Location Fax
(304) 726-4051
Mailing Address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON PITTSBURGH, PA 15219
Mailing Phone
(412) 623-6303
Mailing Fax
(304) 726-4051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2020
Last Update Date
06-13-2023
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Location Map

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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

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

*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 RUBLE

Authorized Official Title
CFO
Authorized Official Phone
(240) 964-8032

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D0236940
Facility Type
Community Clinic
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
DR. JAMES B. DEREN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upmc Western Maryland Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UPMC WESTERN MARYLAND CORPORATION

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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 1215558416, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 1 → 2 5 → 10 → 1 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 0 + 5 + 1 + 6 + 4 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1215558416.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
45 HUNT CLUB DR
RIDGELEY, WV 26753
Emergency Medicine (Emergency Medical Services)
45 HUNT CLUB DR
RIDGELEY, WV 26753
Physician Assistant
45 HUNT CLUB DR
RIDGELEY, WV 26753
Physician Assistant
45 HUNT CLUB DR
RIDGELEY, WV 26753
Physician Assistant
45 HUNT CLUB DR
RIDGELEY, WV 26753
Physician Assistant
45 HUNT CLUB DR
RIDGELEY, WV 26753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215558416, enumerated as an "organization" on April 29, 2020.

The provider is located at 45 HUNT CLUB DR RIDGELEY, WV 26753 and the phone number is (304) 726-4501.

Clinic/Center with taxonomy code 261Q00000X.

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