ST. MARY'S HOSPICE PHYSICIAN - MEDICAID; NPI #1477753937

Contact Information

ST. MARY'S HOSPICE PHYSICIAN - MEDICAID

22699 WASHINGTON ST.
LEONARDTOWN, MD 20650-0650

Phone: 301-475-6438
Fax: 301-475-6188
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ST. MARY'S HOSPICE PHYSICIAN - MEDICAID

NPI # 1477753937

LBN Legal business name ST. MARY'S HOSPICE PHYSICIAN - MEDICAID

Authorized official ALLAN BURBAGE - (DIRECTOR REVENUE CYCLE MANAGEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/23/2007

Last updated 12/11/2007 - About 18 years ago

Identifiers

License #

H1539

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. MARY'S HOSPICE PHYSICIAN - MEDICAID

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for ST. MARY'S HOSPICE PHYSICIAN - MEDICAID

Reviews for ST. MARY'S HOSPICE PHYSICIAN - MEDICAID