Provider Demographics
NPI:1093568883
Name:ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC
Entity Type:Organization
Organization Name:ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER INC
Other - Org Name:FORT WASHINGTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-315-3826
Mailing Address - Street 1:820 W DIAMOND AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1469
Mailing Address - Country:US
Mailing Address - Phone:301-315-3826
Mailing Address - Fax:
Practice Address - Street 1:11711 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5151
Practice Address - Country:US
Practice Address - Phone:301-292-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty