ELAINE ELLIS CENTER OF HEALTH INC. NPI 1427331461

NPI Information

ELAINE ELLIS CENTER OF HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Washington, DC. ELAINE ELLIS CENTER OF HEALTH, INC. NPI is 1427331461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1627 KENILWORTH AVE NE
WASHINGTON, DC
ZIP 20019-010
Phone: (202) 425-2313
Fax: (202) 399-1570

The provider's authorized official is Jacquelyn R Walker .
The authorized official title is Ceo/executive Director and has the following contact phone number (202) 425-2313.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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