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Contact Information

SUBURBAN HOSPITAL, INC.
6420 ROCKLEDGE DR
SUITE 1200
BETHESDA, MD20817-7837
 Phone: 301-896-3901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology, Radiation

261QX0203X
 

Clinic/Center

261Q00000X
 

Infusion Therapy

261QI0500X
Indicates primary specialty

NPI Profile & details for SUBURBAN HOSPITAL, INC.

NPI # 1528096690
LBN Legal business name SUBURBAN HOSPITAL, INC.
Authorized official BRIAN GRAGNOLATI - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/29/2006
Last updated 12/19/2011 - About 14 years ago
Identifiers
MD License # 15332
MD Medicaid 419126900
DC Other 715 BLUE CROSS OF NCA
MD Other 57352101 BLUE CROSS OF MARYLAND
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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