ADULLUM COMMUNITY HEALTHCARE CENTER, INC.
NPI 1801277520
Clinic/Center - Community Health in Baltimore, MD
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 21D2082623
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2026
About ADULLUM COMMUNITY HEALTHCARE CENTER, INC.
This page provides the complete NPI Profile along with additional information for Adullum Community Healthcare Center, Inc., a primary care provider established in Baltimore, Maryland operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1801277520 assigned on June 2015. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Irance Reddix (Ceo/medical Director)
- NPI
- 1801277520 Verify this NPI
- Provider Name
- ADULLUM COMMUNITY HEALTHCARE CENTER, INC.
- Entity Type
- Organization
- Location Address
- 644 E 33RD ST BALTIMORE, MD 21218
- Location Phone
- (318) 348-5622
- Mailing Address
- 3317 KENJAC RD WINDSOR MILL, MD 21244
- Mailing Phone
- (318) 348-5622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2015
- Last Update Date
- 05-13-2022
- Code Navigator
A primary care provider (PCP) like Adullum Community Healthcare Center, Inc. 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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 21D2082623
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- IRANCE E. REDDIX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adullum Community Healthcare Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801277520, enumerated as an "organization" on June 18, 2015.
The provider is located at 644 E 33RD ST BALTIMORE, MD 21218 and the phone number is (318) 348-5622.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
