Adc 1 Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ADC 1 INC

Doing business as

Adc 1, Inc

Practice address

9106 Pine View LN
Clinton, MD 20735-3229

Phone

(301) 577-1007

Fax

(301) 577-1006

NPI assigned

Mar 7, 2013

Last updated

Jan 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Hayes Jenkins, RN

Title

Ceo

Phone

(301) 577-1007

Specialties & licenses 1

Addresses

Other names 1

• ADC 1, INC Doing business as

Electronic endpoints 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1821339409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ANNAPOLIS RD",
            "address_2": "SUITE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063100",
            "telephone_number": "301-577-1007",
            "fax_number": "301-577-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PINE VIEW LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353229",
            "telephone_number": "301-577-1007",
            "fax_number": "301-577-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADC 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-577-1007",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lanham",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9106 Pine View Ln",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207353229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lanham",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9106 Pine View Ln",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207353229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADC 1, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clinton, MD
• Providers in Clinton, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.