Provider Demographics
NPI:1407291297
Name:HOLY CROSS HEALTH CENTERS
Entity Type:Organization
Organization Name:HOLY CROSS HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, HOLY CROSS HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-754-7035
Mailing Address - Street 1:PO BOX 17112
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-1112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7987 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4838
Practice Address - Country:US
Practice Address - Phone:301-557-1870
Practice Address - Fax:301-557-1879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLY CROSS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-07
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service