MEDICARE: HOLY CROSS HEALTH, 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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	E2635	MD

General Provider Information

NPI Number	:	1073534715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY CROSS HEALTH, INC.

Provider Business Mailing Address
First Line	:	PO BOX 531882
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30353-1882
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11721 WOODMORE RD
Second Line	:	SUITE 190
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-4117
Country	:	US
Telephone Number	:	301-390-7270
Fax Number	:

Authorized Official
Title or Position	:	VP & CFO
Name	:	JULIE KEESE
Credential	:
Telephone Number	:	301-754-7201

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	09/24/2024

Similar Medicare Providers

1548284326 — ROBERT LEE DEWITTY JR. M.D.
Practice Location Address:

11721 WOODMORE RD , SUITE # 100
MITCHELLVILLE, MD
20721-4117

Practice Phone: 301-218-1700
Practice Fax: 301-767-7934

1619095452 — DR. RICHARD MARVIN LIPSCOMB DDS
Practice Location Address:

11721 WOODMORE RD , SUITE 150
MITCHELLVILLE, MD
20721-4117

Practice Phone: 301-430-0934
Practice Fax: 301-430-0936

1972713352 — LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Practice Location Address:

11721 WOODMORE RD , 170
MITCHELLVILLE, MD
20721-4117

Practice Phone: 301-218-4110
Practice Fax: 310-218-4120

1447880406 — ADRIENNE NICOLE TOLSON
Practice Location Address:

12158 CENTRAL AVE
MITCHELLVILLE, MD
20721-1932

Practice Phone: 301-430-2700
Practice Fax:

1598013245 — MS. LUCY KOROMA RN, MSN-BSN
Practice Location Address:

12164 CENTRAL AVE STE 228
MITCHELLVILLE, MD
20721-1903

Practice Phone: 240-838-8911
Practice Fax:

1619976438 — WILLIAM F DUBOYCE MD
Practice Location Address:

12158 CENTRAL AVE , MITCHELLVILLE PLAZA
MITCHELLVILLE, MD
20721-1932

Practice Phone: 301-430-2750
Practice Fax: 301-430-2751

Directions to “HOLY CROSS HEALTH, 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.