Elaine Ellis Center Of Health
LBN: Elaine Ellis Center Of Health
Elaine Ellis Center Of Health is an health care organization with primary practice located at 10001 Rhode Island Ave , College Park MD 20740-1141. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Elaine Ellis Center Of Health can be contacted via phone (301) 441-1605, or through Walker, Jacquelyn R via phone (301) 441-1605.
Contact Information
Primary practice address
10001 Rhode Island Ave
College Park MD 20740-1141
Phone: (301) 441-1605
Fax: (301) 345-1609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 400312000595 | District of Columbia |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1184164014 |
|---|---|
| LBN Legal business name | Elaine Ellis Center Of Health |
| DBA Doing business as | |
| Authorized official | Walker, Jacquelyn R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2017 |
| Last updated | Mar 1st, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184164014 | NPPES |
| Maryland | MEDICAID | 500072600 | |
| Maryland | MEDICAID | 082390200 |
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