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Organization

PROFESSIONAL SERVICES OF HOLY CROSS

Active
Parent organization
HOLY CROSS HEALTH, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOLY CROSS HEALTH, INC.
Authorized official
JULIE KEESE (VP & CFO)
(301) 754-7201
Entity
Organization

Contact information

Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(301) 754-7000
(301) 498-3074
Mailing address
PO BOX 531863, ATLANTA, GA 30353-1863

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
208000000X
Pediatrics Physician
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040578900
DC
05
071035600
DC
05
409728900
MD
05
409728901
MD
05
409728902
MD
05
409728904
MD
05
409728905
MD
05
409728906
MD
05
409728907
MD
05
409728908
MD
05
409728910
MD
05
409728911
MD
05
409728912
MD
05
409728913
MD
05
410238000
MD
Enumeration date
06/04/2006
Last updated
09/24/2024
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