| Organization Name: | ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY, INC. |
| NPI Number: | 1649207168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A BRAAM (VICE PRESIDENT/CFO) |
| Mailing Address: | 37767 Market Drive Charlotte Hall |
| State: | MD US |
| Postal Code: | 20622 |
| Phone Number: | 3012901499 |
| Fax Number: | 4108823310 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |