EAGLES WELLNESS CENTER
NPI 1962196386
Clinic/Center - Mental Health (Including Community Mental Health Center) in Largo, MD

NPI Status: Active since June 07, 2023

Contact Information

1300 MERCANTILE LN STE 100K
LARGO, MD
ZIP 20774
Phone: (301) 636-0977
Fax: (240) 219-4377

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EAGLES WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Eagles Wellness Center, a provider established in Largo, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1962196386 assigned on June 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Deaniece Fields (Cfo)

NPI
1962196386
Provider Name
EAGLES WELLNESS CENTER
Entity Type
Organization
Location Address
1300 MERCANTILE LN STE 100K LARGO, MD 20774
Location Phone
(301) 636-0977
Location Fax
(240) 219-4377
Mailing Address
13602 GENTRY CT LAUREL, MD 20708
Mailing Phone
(240) 832-4007
Mailing Fax
(240) 219-4377
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2023
Last Update Date
06-07-2023
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

DEANIECE FIELDS

Authorized Official Title
CFO
Authorized Official Phone
(240) 832-4007

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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.
1962196386
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291222912316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 9 + 1 + 2 + 3 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1962196386 is valid because the calculated check digit 6 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
1215745179EAGLES WELLNESS CENTER
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1300 MERCANTILE LN STE 100K
LARGO, MD 20774
(240) 832-2071

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962196386, enumerated in the NPI registry as an "organization" on June 07, 2023

The provider is located at 1300 Mercantile Ln Ste 100k Largo, Md 20774 and the phone number is (301) 636-0977

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on June 07, 2023. 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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