DR. BAMBA'S HEALTH AND MEDICAL CENTER
NPI 1063113397
Clinic/Center - Primary Care in Glen Burnie, MD

Active since March 14, 2023CLIA 21D2283816 · Waiver
1406B CRAIN HWY S STE 308, GLEN BURNIE, MD 21061(443) 953-8255 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Mar 14, 2023 (2 updates tracked since 2023).

About Dr. Bamba's Health And Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BAMBA'S HEALTH AND MEDICAL CENTER (NPI 1063113397) is a healthcare organization registered as a primary care in Glen Burnie, Maryland and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists N'dama Bamba, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1063113397
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR. BAMBA'S HEALTH AND MEDICAL CENTER
Location Address1406B CRAIN HWY S STE 308Glen Burnie, MD 21061-4094
Mailing Address1406b Crain Hwy S Ste 308Glen Burnie, MD 21061-4094 · (443) 953-8255
Organization SubpartNo
Authorized OfficialN'dama BambaOwner/provider · (443) 953-8255
Enumeration DateMarch 14, 2023
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1063113397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1406B CRAIN HWY S STE 308, Glen Burnie, MD 21061

Other Identifiers 2

Medicaid73005931MD
Other1275856163Individual Npi

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2283816

Dr Bambas Health And Medical Center · Glen Burnie, MD
Active · expires Jun 12, 2027
CLIA Number21D2283816
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorNdama Bamba
Laboratory Phone(443) 953-8255
Laboratory LocationDr Bambas Health And Medical Center1406B Crain Hwy S Suite 308, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1406B CRAIN HWY S STE 308
GLEN BURNIE, MD 21061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Bamba's Health And Medical Center's NPI number?

The NPI number for Dr. Bamba's Health And Medical Center is 1063113397. It was assigned to this organization in the NPPES registry on March 14, 2023.

Where is Dr. Bamba's Health And Medical Center located?

Dr. Bamba's Health And Medical Center is located at 1406B Crain Hwy S Ste 308, Glen Burnie, MD 21061. The listed phone number is (443) 953-8255.

What is Dr. Bamba's Health And Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Dr. Bamba's Health And Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2283816) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Bamba's Health And Medical Center was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.