| Elaine Ellis Center Of Health, Inc. | |
|
10001 Rhode Island Ave College Park MD 20740-1141 | |
| (301) 441-1605 | |
| (301) 345-1609 |
| Full Name | Elaine Ellis Center Of Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10001 Rhode Island Ave, College Park, Maryland |
| Authorized Official Name and Position | Jacquelyn Renee Walker (CEO) |
| Authorized Official Contact | 2028032340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Ellis Center Of Health, Inc. 1627 Kenilworth Ave Ne Washington DC 20019-2010 Ph: (202) 803-2340 | Elaine Ellis Center Of Health, Inc. 10001 Rhode Island Ave College Park MD 20740-1141 Ph: (301) 441-1605 |
| NPI Number | 1932710183 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932710183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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