# ST. AGNES HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518112432
- **Authorized official:** DR. JON FALCK M.D. (ED PHYSICIAN/SUPERVISING PHYSICIAN)
- **Authorized official phone:** (410) 368-2014

## Contact information

- **Practice address:** 900 CATON AVE, EMERGENCY DEPT, BALTIMORE, MD 21229-5201
- **Practice address phone:** (240) 601-0691
- **Mailing address:** 900 CATON AVE, EMERGENCY DEPT, BALTIMORE, MD 21229-5201
- **Mailing address phone:** (240) 601-0691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | C0003903 | MD | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 11/19/2008