SUBURBAN HOSPITAL INC. NPI 1528096690

NPI Information

NPI: 1528096690
Provider Name: SUBURBAN HOSPITAL, INC.

Doing Business As: SUBURBAN HOSPITAL RADIATION ONCOLOGY INFUSION CENTER

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
6420 ROCKLEDGE DR
SUITE 1200
BETHESDA, MD
ZIP 20817
Phone: (301) 896-3901
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SUBURBAN HOSPITAL, INC. is an oncology and radiation clinic center in Bethesda, MD. SUBURBAN HOSPITAL, INC. NPI is 1528096690. The provider is registered as an organization entity type.
The provider Is Doing Business As Suburban Hospital Radiation Oncology Infusion Center.

The provider's business location address is:

6420 ROCKLEDGE DR
SUITE 1200
BETHESDA, MD
ZIP 20817-837
Phone: (301) 896-3901

The provider's authorized official is Brian A. Gragnolati .
The authorized official title is President and has the following contact phone number (301) 896-2574.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 12/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		15332	MARYLAND	No
2	261QI0500X	Clinic/Center	Infusion Therapy	15332	MARYLAND	No
3	261QX0203X	Clinic/Center	Oncology, Radiation	15332	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	419126900	MEDICAID	MARYLAND
2	800022	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	SUBURBAN RAD ONC
3	57352101	OTHER	MARYLAND	BLUE CROSS OF MARYLAND
4	715	OTHER	DISTRICT OF COLUMBIA	BLUE CROSS OF NCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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