Healthcare Provider Details

I. General information

NPI: 1689994550
Provider Name (Legal Business Name): NATIONAL INSTITUTES OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR BLDG. 10 ROOM 2-5940
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DR BLDG. 10 ROOM 2-5940
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-6353
  • Fax: 301-480-5626
Mailing address:
  • Phone: 301-496-6353
  • Fax: 301-480-5626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0101229944
License Number StateVA

VIII. Authorized Official

Name: DR. WILLIAM MARSTON LINEHAN
Title or Position: STAFF CLINICIAN
Credential: M.D.
Phone: 301-496-6353