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1114922341

NPI Code Detail

MEDICARE: MONTGOMERY GENERAL HOSPITAL, INC.

MEDICARE: MONTGOMERY GENERAL HOSPITAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	15-202	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5000047	OTHER	MD	UNITED HEALTH MCO
3	234094	OTHER	MD	ALLIANCE PPO
4	5000047	OTHER	MD	UNITED HEALTHCARE
5	734	OTHER	MD	BCBS NATIONAL ACCOUNTS
6	OOO315800	OTHER	MD	MAPS MD
7	104272	OTHER	MH	KAISER
8	45833	OTHER	MD	AMERICAID MCO
9	235094	OTHER	MD	UFCW/FELRA
10	57355901	OTHER	MD	CAREFIRST OF MD
11	9992	OTHER	MD	AETNA
12	4235094	OTHER	MD	MDIPA

General Provider Information

NPI Number	:	1114922341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTGOMERY GENERAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:
Fax Number	:	301-774-9676

Provider Business Practice Location Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:	301-774-8649
Fax Number	:	301-774-9676

Authorized Official
Title or Position	:	SR. VICE PRESIDENT/ CFO
Name	:	MR. JOHN HOGARTY
Credential	:
Telephone Number	:	301-774-8649

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/26/2007

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Directions to “MONTGOMERY GENERAL HOSPITAL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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