Provider Demographics
NPI:1841955358
Name:ADVENTIST HEALTHCARE SC AT NATIONAL HARBOR, LLC
Entity type:Organization
Organization Name:ADVENTIST HEALTHCARE SC AT NATIONAL HARBOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GOVERNING BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAWAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-622-1515
Mailing Address - Street 1:201 NATIONAL HARBOR BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 NATIONAL HARBOR BLVD STE 500
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1052
Practice Address - Country:US
Practice Address - Phone:405-697-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical