Organization · Type 2 NPI

St. Agnes Healthcare, Inc.

Ambulatory Surgical Clinic/Center · Baltimore, MD

NPI number 1720227176 Active

Practice location

300 Frederick Rd, Suite 200
Baltimore, MD 21228-4665

Call (410) 744-0900 Map

Fax (410) 744-3160

Mailing address

3585 Washington Blvd
Halethorpe, MD 21227-1676

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	A1300 (MD)

Ambulatory Surgical Clinic/Center: Definition to come...

7 other providers at this address

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George T. Grace, M.d. Surgery CenterAmbulatory Surgical Clinic/Center Baltimore, MD NPI 1386848034
George Thomas Grace, M.d., P.a.Specialist Baltimore, MD NPI 1235254111
Ajay Verma Kumar, MDPlastic Surgery Physician Catonsville, MD NPI 1487755708
George Thomas Grace, MDPlastic Surgery Physician Catonsville, MD NPI 1447259189
Kerry Elizabeth Owens, MDPlastic Surgery Physician Baltimore, MD NPI 1134128903
Maakan Taghizadeh, MDPlastic Surgery Physician Baltimore, MD NPI 1184832586

Other ambulatory surgical clinic/center providers in Baltimore

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NPI record

NPI: 1720227176
Entity type: Organization (Type 2)
Issued: Feb 9, 2009
Last updated: Feb 25, 2016
Status: Active
Subpart: Yes of St. Agnes Healthcare, Inc.

Other names

<unavail>
George Thomas Grace M.d. Surgery Center · doing business as

Authorized official

Mr. Keith Vander Kolk
President/ceo
(667) 234-2101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720227176

St. Agnes Healthcare, Inc.'s National Provider Identifier is 1720227176, issued on Feb 9, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Baltimore, MD. The record was last updated on Feb 25, 2016.