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Organization
MONTGOMERY GENERAL HOSPITAL, INC.
Active
Organization
MONTGOMERY GENERAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOGARTY (SR. VICE PRESIDENT/ CFO)
(301) 774-8649
Entity
Organization
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8649
(301) 774-9676
Mailing address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-9676
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
15-202
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104272
KAISER
MH
01
—
234094
ALLIANCE PPO
MD
01
—
235094
UFCW/FELRA
MD
01
—
4235094
MDIPA
MD
01
—
45833
AMERICAID MCO
MD
01
—
5000047
UNITED HEALTH MCO
MD
01
—
57355901
CAREFIRST OF MD
MD
01
—
734
BCBS NATIONAL ACCOUNTS
MD
01
—
9992
AETNA
MD
01
—
O20719200
DC MEDICAID
DC
01
—
OOO315800
MAPS MD
MD
Enumeration date
06/15/2005
Last updated
10/26/2007
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