Provider Demographics
NPI:1699307868
Name:WESTERN MARYLAND AREA HEALTH EDUCATION CENTER, INC.
Entity type:Organization
Organization Name:WESTERN MARYLAND AREA HEALTH EDUCATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-777-9150
Mailing Address - Street 1:39 BALTIMORE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3066
Mailing Address - Country:US
Mailing Address - Phone:301-777-9150
Mailing Address - Fax:301-777-2649
Practice Address - Street 1:39 BALTIMORE ST STE 201
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3066
Practice Address - Country:US
Practice Address - Phone:301-777-9150
Practice Address - Fax:301-777-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty