MEDICARE: ADVENTIST HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	21D0649632	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P001981611	OTHER	MD	RAILROAD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033123880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 1350
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20725-1350
Country	:	US
Telephone Number	:	240-471-3427
Fax Number	:	240-471-3401

Provider Business Practice Location Address
First Line	:	12041 BOURNEFIELD WAY
Second Line	:	SUITE A
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7907
Country	:	US
Telephone Number	:	240-471-3427
Fax Number	:	240-471-3401

Authorized Official
Title or Position	:	VICE PRES REV CYCLE MANAGED CARE
Name	:	PAMELA MCCLAIN
Credential	:
Telephone Number	:	301-315-3430

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/12/2026

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Directions to “ADVENTIST HEALTHCARE, INC ” Practice Location

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