Healthcare Provider Details

I. General information

NPI: 1821185158
Provider Name (Legal Business Name): WALTER REED ARMY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

2832 CAIRNCROSS TER
SILVER SPRING MD
20906-1809
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-2907
  • Fax: 202-782-3238
Mailing address:
  • Phone: 301-598-6568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License NumberR096783
License Number StateMD

VIII. Authorized Official

Name: MRS. CHERYL ADELEINE JOHN-SAWYERS
Title or Position: NURSE MANAGER
Credential: CRNP
Phone: 202-782-2907