Organization · Type 2 NPI

Elaine Ellis Center of Health

Federally Qualified Health Center (FQHC) · College Park, MD

NPI number 1184164014 Active

Practice location

10001 Rhode Island Ave
College Park, MD 20740-1141

Fax (301) 345-1609

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400X400312000595 (DC)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

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About NPI 1184164014

Elaine Ellis Center of Health's National Provider Identifier is 1184164014, issued on Feb 25, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in College Park, MD. The record was last updated on Oct 1, 2026.