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ST. AGNES HEALTHCARE INC. NPI 1245274901


NPI Information

NPI: 1245274901
Provider Name: ST. AGNES HEALTHCARE, INC.

Doing Business As: ST.AGNES HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
900 CATON AVE
BALTIMORE, MD
ZIP 21229
Phone: (667) 234-2126
Get Directions

ST. AGNES HEALTHCARE, INC. is a general acute care hospital in Baltimore, MD. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. ST. AGNES HEALTHCARE, INC. NPI is 1245274901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St.agnes Hospital.

The provider's business location address is:

900 CATON AVE
BALTIMORE, MD
ZIP 21229-201
Phone: (667) 234-2126
Fax: (667) 238-2947

The provider's authorized official is Keith Vander Kolk .
The authorized official title is President/ceo and has the following contact phone number (667) 234-2101.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
42086S0129XSurgeryVascular SurgeryNo
5282N00000XGeneral Acute Care Hospital282N00000XMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H171MEDICARE PINMARYLAND
2000115500MEDICAIDMARYLAND
3210011MEDICARE OSCAR/CERTIFICATIONMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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