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NPI Code Detail

MEDICARE: ADC 1 INC

MEDICARE: ADC 1 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821339409
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADC 1 INC
Provider Business Mailing Address
First Line : 9320 ANNAPOLIS RD
Second Line : SUITE 200
City : LANHAM
State : MD
Zip : 20706-3100
Country : US
Telephone Number : 301-577-1007
Fax Number : 301-577-1006
Provider Business Practice Location Address
First Line : 9106 PINE VIEW LN
Second Line :
City : CLINTON
State : MD
Zip : 20735-3229
Country : US
Telephone Number : 301-577-1007
Fax Number : 301-577-1006
Authorized Official
Title or Position : CEO
Name : MARY HAYES JENKINS
Credential : RN
Telephone Number : 301-577-1007
Provider Enumeration Date : 03/07/2013
Last Update Date : 01/15/2020

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