Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Heart Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-2149
Entity
Organization
Contact information
Practice address
3407 WILKENS AVE STE 300, BALTIMORE, MD 21229-5222
(410) 445-5111
Mailing address
3407 WILKENS AVE STE 300, BALTIMORE, MD 21229-5222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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