Adullum Community Healthcare Center, Inc. | |
644 E 33rd St Baltimore MD 21218-3504 | |
(318) 348-5622 | |
Not Available |
Full Name | Adullum Community Healthcare Center, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 644 E 33rd St, Baltimore, Maryland |
Authorized Official Name and Position | Irance Reddix (CEO/MEDICAL DIRECTOR) |
Authorized Official Contact | 3183485622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Adullum Community Healthcare Center, Inc. 3317 Kenjac Rd Windsor Mill MD 21244-1323 Ph: (318) 348-5622 | Adullum Community Healthcare Center, Inc. 644 E 33rd St Baltimore MD 21218-3504 Ph: (318) 348-5622 |
NPI Number | 1801277520 |
---|---|
Provider Enumeration Date | 06/18/2015 |
Last Update Date | 05/13/2022 |
Medicare PECOS PAC ID | 4789974932 |
---|---|
Medicare Enrollment ID | O20160601000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801277520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Irance E Reddix |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659310431 PECOS PAC ID: 0042123630 Enrollment ID: I20071004000572 |
Gbmc Health Partners At Helping Up Mission, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
Solutions Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W University Pkwy Apt 425, Baltimore, MD 21210 Phone: 786-451-5184 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 | |
Maryland Medical First P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 Clement Ave, Baltimore, MD 21234 Phone: 410-661-4670 Fax: 410-661-4671 |