Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Agnes Healthcare, Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1720227176

St Agnes Healthcare, Inc is an Ambulatory Surgical Clinic/Center in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Frederick Rd Ste 200
Baltimore, MD 21228-4665
Phone: (410) 744-0900
Fax: (410) 744-3160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence A1300 (MD)

Record details

NPI number1720227176
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Agnes Healthcare, Inc
Authorized official Keith Vander Kolk — President/Ceo · (667) 234-2101
Other names George Thomas Grace M.D. Surgery Center
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 25, 2016
Mailing address3585 Washington Blvd, Halethorpe, MD 21227-1676

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