| Elaine Ellis Center Of Health | |
|
10001 Rhode Island Ave College Park MD 20740-1141 | |
| (301) 441-1605 | |
| (301) 345-1609 |
| Full Name | Elaine Ellis Center Of Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10001 Rhode Island Ave, College Park, Maryland |
| Authorized Official Name and Position | Jacquelyn R Walker (CEO) |
| Authorized Official Contact | 3014411605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Ellis Center Of Health 10001 Rhode Island Ave College Park MD 20740-1141 Ph: (301) 441-1605 | Elaine Ellis Center Of Health 10001 Rhode Island Ave College Park MD 20740-1141 Ph: (301) 441-1605 |
| NPI Number | 1184164014 |
|---|---|
| Provider Enumeration Date | 02/25/2017 |
| Last Update Date | 03/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184164014 | NPI | - | NPPES |
| 500072600 | Medicaid | MD | |
| 082390200 | Medicaid | DC |
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