Adc 1 Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clinton, MD
NPI 1821339409 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1821339409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Mary Hayes Jenkins, RN
- Title
- Ceo
- Phone
- (301) 577-1007
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
9106 Pine View LN
Clinton, MD 20735-3229
Mailing address
9320 Annapolis Rd
Suite 200
Lanham, MD 20706-3100
Phone (301) 577-1007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4220242 | Medicaid | MD |
Other names
- ADC 1, INC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lanham | Health Information Exchange (HIE) | |
| CONNECT URL | Lanham | Direct |
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All providers in Clinton, MD · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.