MONDAWMIN HEALTH CENTER
NPI 1013902485
Clinic/center, Federally Qualified Health Center (fqhc) in Baltimore,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 13, 2005

Contact Information

2401 Liberty Heights Ave Ste 111-113
Baltimore,
Post Code: 21215
Phone: (410) 383-8300
Fax: (410) 383-3160

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Mondawmin Health Center in Baltimore - Clinic/Center, Federally Qualified Health Center (FQHC)

Mondawmin Health Center is a Clinic/Center, Federally Qualified Health Center (FQHC) in Baltimore, . Mondawmin Health Center practices all healthcare services and medical treatments related to Clinic/Center, Federally Qualified Health Center (FQHC). The NPI Number for Mondawmin Health Center is 1013902485. The last update date is 2024-10-17.

Mondawmin Health Center's current location address is 2401 Liberty Heights Ave Ste 111-113, Baltimore, . You can contact this provider via phone number (410) 383-8300 and fax number (410) 383-3160. The mailing address for Mondawmin Health Center is 2401 Liberty Heights Ave Ste 111-113, Baltimore, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013902485
Provider Legal Name
TOTAL HEALTH CARE INC
Other Organization Name
MONDAWMIN HEALTH CENTER
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
2401 Liberty Heights Ave Ste 111-113, Baltimore,
Location Phone
(410) 383-8300
Location Fax
(410) 383-3160
Mailing Address
1501 Division St, Baltimore, Maryland(MD)
Mailing Phone
410-383-8300
Mailing Fax
410-383-3160
Enumeration Date
2005-09-13
Last Update Date
2024-10-17
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
905611400 MEDICAID (05) Maryland (MD)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013902485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231804416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231804416
2 + 0 + 2 + 3 + 1 + 8 + 0 + 4 + 4 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1013902485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013902287 AUDREY K TSAO
Individual
Orthopaedic Surgery 2101 E JEFFERSON ST
ROCKVILLE, Maryland (MD)
602-616-1434
1013901859 TEENA THOMAS
Individual
Pharmacist 15025 TIMBERLAKE DR
SILVER SPRING, Maryland (MD)
301-879-8715
1013901321 SALVACION DUPAYA RAMIREZ
Individual
Internal Medicine 7845 OAKWOOD RD
GLEN BURNIE, Maryland (MD)
410-760-4888
1013900992 BIJAN BAHMANYAR
Individual
Specialist PO BOX 254
GREENBELT, Maryland (MD)
301-345-6222
1003899873 TIMOTHY JOSEPH O'LEARY
Individual
Pathology, Molecular Genetic Pathology 4755 CAMP ROOSEVELT DRIVE
CHESAPEAKE BEACH, Maryland (MD)
240-460-0271