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Contact Information

ST. MARY'S NURSING CENTER, INC.
21585 PEABODY STREET
LEONARDTOWN, MD20650-2955
 Phone: 301-475-8000
 Fax: 301-475-3085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ST. MARY'S NURSING CENTER, INC.

NPI # 1467446914
LBN Legal business name ST. MARY'S NURSING CENTER, INC.
Authorized official LOIS HODGES - (ADMINSTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 01/05/2016 - About 10 years ago
Identifiers
MD License # 18002
MD Medicaid 695502900
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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