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Organization

ST. AGNES HEALTHCARE, INC.

Active
Parent organization
ST. AGNES HEALTHCARE, INC.
Other names
Maryland Surgeons Center of Columbia
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. AGNES HEALTHCARE, INC.
Authorized official
BONNIE L. PHIPPS (PRESIDENT/CEO)
(410) 368-2101
Entity
Organization

Contact information

Practice address
11055 LITTLE PATUXENT PKWY, L6, COLUMBIA, MD 21044-2896
(410) 730-9775
Mailing address
PO BOX 21182, BALTIMORE, MD 21228
(410) 368-8640

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1463
MD

Other

Enumeration date
12/02/2010
Last updated
12/02/2010
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