Organization
RAI CARE CENTERS OF MARYLAND I, LLC
Active
Other names
RAI-Silver Hill-District Heights
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization
Contact information
Practice address
5652 SILVER HILL ROAD, DISTRICT HEIGHTS, MD 20747-1145
(301) 967-9891
(301) 967-6964
Mailing address
1550 W. MCEWEN DRIVE, SUITE 500, FRANKLIN, TN 37067-1731
(615) 661-1100
(615) 507-3300
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037702500
—
DC
01
—
184625
ANTHEM VA BCBS
VA
05
—
409585501
—
MD
01
—
88170801
CAREFIRST BCBS
MD
Enumeration date
10/02/2006
Last updated
02/15/2011
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