Organization
ADVENTIST HEALTHCARE, INC.
Active
Other names
Adventist HealthCare Shady Grove Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEE (TREASURER AND SECRETARY)
(301) 315-3030
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-6000
Mailing address
820 W DIAMOND AVE, SUITE 500, GAITHERSBURG, MD 20878-1419
(301) 315-3030
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
15315
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402824400
—
MD
Enumeration date
06/27/2005
Last updated
03/22/2021
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