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NPI Code Detail

MEDICARE: PROFESSIONAL SERVICES OF HOLY CROSS

MEDICARE: PROFESSIONAL SERVICES OF HOLY CROSS
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1679437180
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL SERVICES OF HOLY CROSS
Provider Business Mailing Address
First Line : PO BOX 531863
Second Line :
City : ATLANTA
State : GA
Zip : 30353-1863
Country : US
Telephone Number : 301-557-6000
Fax Number :
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : LARGO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 301-557-6000
Fax Number :
Authorized Official
Title or Position : VP, FINANCE AND CFO
Name : JULIE KEESE
Credential :
Telephone Number : 301-754-7201
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “PROFESSIONAL SERVICES OF HOLY CROSS ” Practice Location

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