ELAINE ELLIS CENTER OF HEALTH
NPI 1184164014
Clinic/Center - Federally Qualified Health Center (FQHC) in College Park, MD

NPI Status: Active since February 25, 2017

Contact Information

10001 RHODE ISLAND AVE
COLLEGE PARK, MD
ZIP 20740
Phone: (301) 441-1605
Fax: (301) 345-1609

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About ELAINE ELLIS CENTER OF HEALTH

This page provides the complete NPI Profile along with additional information for Elaine Ellis Center Of Health, a primary care provider established in College Park, Maryland operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1184164014 assigned on February 2017. The practitioner's primary taxonomy code is 261QF0400X with license number 400312000595 (DC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jacquelyn R Walker (Ceo)

NPI
1184164014
Provider Name
ELAINE ELLIS CENTER OF HEALTH
Entity Type
Organization
Location Address
10001 RHODE ISLAND AVE COLLEGE PARK, MD 20740
Location Phone
(301) 441-1605
Location Fax
(301) 345-1609
Mailing Address
10001 RHODE ISLAND AVE COLLEGE PARK, MD 20740
Mailing Phone
(301) 441-1605
Mailing Fax
(301) 345-1609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2017
Last Update Date
03-01-2017
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A primary care provider (PCP) like Elaine Ellis Center Of Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
400312000595
License State
DC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELYN R WALKER

Authorized Official Title
CEO
Authorized Official Phone
(301) 441-1605

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500072600MEDICAID (05)MD 
082390200MEDICAID (05)DC 
091844MEDICARE PIN (08) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184164014
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116426802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 2 + 6 + 8 + 0 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1184164014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932710183ELAINE ELLIS CENTER OF HEALTH, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))10001 RHODE ISLAND AVE
COLLEGE PARK, MD 20740
(301) 441-1605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184164014, enumerated in the NPI registry as an "organization" on February 25, 2017

The provider is located at 10001 Rhode Island Ave College Park, Md 20740 and the phone number is (301) 441-1605

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 25, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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