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Organization

HOLY CROSS HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MERRILL THOMAS JACKSON JR. PA (PHYSICIAN ASSISTANT)
(301) 754-7258
Entity
Organization

Contact information

Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(301) 754-7258
Mailing address
6207 93RD PL, LANHAM, MD 20706-2728
(301) 754-7258

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
C0000688
MD

Other

Enumeration date
07/02/2006
Last updated
08/22/2020
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