GOVERNOR'S WELLMOBILE PROGRAM
NPI 1336515519
Clinic/Center - Primary Care in Hyattsville, MD
NPI Status: Active since August 11, 2015
Contact Information
8011 NEW HAMPSHIRE AVE
MOBILE UNIT
HYATTSVILLE, MD
ZIP 20783
Phone: (866) 228-9668
Fax: (410) 706-5145
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 21D0900084
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 04-16-2027
About GOVERNOR'S WELLMOBILE PROGRAM
This page provides the complete NPI Profile along with additional information for Governor's Wellmobile Program, a primary care provider established in Hyattsville, Maryland operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1336515519 assigned on August 2015. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Governor's Wellmobile Program. The authorized official of this NPI record is Ms. Susan Marie Antol Ms, Rn (Program Director)
- NPI
- 1336515519
- Provider Legal Name
- UNIVERSITY OF MARYLAND BALTIMORE
- Other Organization Name
- GOVERNOR'S WELLMOBILE PROGRAM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 8011 NEW HAMPSHIRE AVE MOBILE UNIT HYATTSVILLE, MD 20783
- Location Phone
- (866) 228-9668
- Location Fax
- (410) 706-5145
- Mailing Address
- 655 W LOMBARD ST SUITE 425B BALTIMORE, MD 21201
- Mailing Phone
- (410) 706-5395
- Mailing Fax
- (410) 706-5145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2015
- Last Update Date
- 08-11-2015
- Code Navigator
A primary care provider (PCP) like Governor's Wellmobile Program sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0900084
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- April 17, 2025
- Certificate Expiration Date
- April 16, 2027
- Laboratory Director
- VERONICA GUTCHELL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Governor's Wellmobile Program in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336515519, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336515519, enumerated as an "organization" on August 11, 2015.
The provider is located at 8011 NEW HAMPSHIRE AVE MOBILE UNIT HYATTSVILLE, MD 20783 and the phone number is (866) 228-9668.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
