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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1487650024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	820 W DIAMOND AVE
Second Line	:	SUITE 500
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-1419
Country	:	US
Telephone Number	:	301-315-3102
Fax Number	:

Provider Business Practice Location Address
First Line	:	11890 HEALING WAY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7917
Country	:	US
Telephone Number	:	240-637-4000
Fax Number	:

Authorized Official
Title or Position	:	EVP/CFO
Name	:	MR. JAMES LEE
Credential	:
Telephone Number	:	301-315-3030

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/11/2021

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