ST. AGNES HEALTHCARE INC. NPI 1619791779

NPI Information

  • NPI: 1619791779
  • Provider Name: ST. AGNES HEALTHCARE, INC.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 6740 ALEXANDER BELL DR STE 104
    COLUMBIA, MD
    ZIP 21046
  • Phone: (667) 234-8696

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NPI Details

ST. AGNES HEALTHCARE, INC. is a diagnostic radiology radiology in Columbia, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. AGNES HEALTHCARE, INC. NPI is 1619791779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6740 ALEXANDER BELL DR STE 104
COLUMBIA, MD
ZIP 21046-248
Phone: (667) 234-8696

The provider's authorized official is William B Higginbotham .
The authorized official title is President/ceo and has the following contact phone number (667) 234-3162.

The enumeration date for this NPI number is 11/14/2024 and was last updated on 11/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNORTH DAKOTAYes

What is NPI?

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This page was last updated on: 3/30/2025

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