EZE FAMILY HEALTH CENTER INC. NPI 1871874859

NPI Information

  • NPI: 1871874859
  • Provider Name: EZE FAMILY HEALTH CENTER, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: EZE HEALTH CENTER
  • CLIA Number: 21D2043063
  • Address: 11750 BUSINESS PARK DR
    SUITE 103
    WALDORF, MD
    ZIP 20601
  • Phone: (301) 323-3921

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NPI Details

EZE FAMILY HEALTH CENTER, INC. is a clinic center in Waldorf, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EZE FAMILY HEALTH CENTER, INC. NPI is 1871874859. The provider is registered as an organization entity type.
The provider Other Name Is Eze Health Center.

The provider's business location address is:

11750 BUSINESS PARK DR
SUITE 103
WALDORF, MD
ZIP 20601-907
Phone: (301) 323-3921
Fax: (888) 519-5179

The provider's authorized official is Chinyere Eze .
The authorized official title is Medical Practitioner / Ceo and has the following contact phone number (301) 323-3921.

The CLIA number assigned to this NPI record is 21D2043063 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 10/20/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterD0037088MARYLANDNo
2363AM0700XPhysician AssistantMedicalC0004111MARYLANDNo
3261Q00000XClinic/CenterD69441MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003032855OTHERMARYLANDNPPES (NPI)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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