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ADVENTIST DIALYSIS SERVICES NPI 1679570378


NPI Information

NPI: 1679570378
Provider Name: ADVENTIST DIALYSIS SERVICES

Doing Business As: ADVENTIST SENIOR LIVING SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1801 RESEARCH BLVD
SUITE 300
ROCKVILLE, MD
ZIP 20850
Phone: (301) 315-3450
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ADVENTIST DIALYSIS SERVICES is a clinic center in Rockville, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ADVENTIST DIALYSIS SERVICES NPI is 1679570378. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Senior Living Services.

The provider's business location address is:

1801 RESEARCH BLVD
SUITE 300
ROCKVILLE, MD
ZIP 20850-152
Phone: (301) 315-3450
Fax: (301) 315-3000

The provider's authorized official is Richard A Marizan .
The authorized official title is Director, Central Business Office and has the following contact phone number (301) 315-3272.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 3/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1408123400MEDICAIDMARYLAND
2212586MEDICARE ID-TYPE UNSPECIFIEDMARYLAND

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: 4/28/2024

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