Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
6740 ALEXANDER BELL DR STE 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 566-4003
Mailing address
6740 ALEXANDER BELL DR STE 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 566-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8653
CAREFIRST BCBS
MD
Enumeration date
10/26/2007
Last updated
11/13/2024
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