| Adventist Healthcare Fort Washington Medical Center Inc | |
|
11711 Livingston Rd Ft Washington MD 20744-5151 | |
| (301) 203-2599 | |
| (301) 203-7892 |
| Full Name | Adventist Healthcare Fort Washington Medical Center Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 11711 Livingston Rd, Ft Washington, Maryland |
| Authorized Official Name and Position | Kristen Pulio (SVP/CFO) |
| Authorized Official Contact | 3013153569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Healthcare Fort Washington Medical Center Inc 11711 Livingston Rd Ft Washington MD 20744-5151 Ph: (301) 203-2599 | Adventist Healthcare Fort Washington Medical Center Inc 11711 Livingston Rd Ft Washington MD 20744-5151 Ph: (301) 203-2599 |
| NPI Number | 1932146461 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 9638198724 |
|---|---|
| Medicare Enrollment ID | O20160302000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932146461 | NPI | - | NPPES |
| 096775100 | Medicaid | MD | |
| 025293300 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 16003 (Maryland) | Primary |
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