Adullum Community Healthcare Center, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ADULLUM COMMUNITY HEALTHCARE CENTER, INC.

Practice address

644 E 33Rd St
Baltimore, MD 21218-3504

Phone

(318) 348-5622

NPI assigned

Jun 18, 2015

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Irance ReddixNPI 1659310431

Title

Ceo/Medical Director

Phone

(318) 348-5622

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18149/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irance' Reddix, M.D.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1659310431
  NPD Authorized official
• Jessica Miller

  • Geriatric Medicine (Family Medicine) Physician
  • Towson, MD
  • NPI 1922862283
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1801277520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 KENJAC RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441323",
            "telephone_number": "318-348-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183504",
            "telephone_number": "318-348-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULLUM COMMUNITY HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "REDDIX",
        "authorized_official_first_name": "IRANCE",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-348-5622",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden Adrien
• Jonell Adu-Gyamfi
• Nana Yaw Ampaw Adu-Sarkodie, MD, MPH
• Akwasi Ofori Aduboffour, MD
• Dilys Osei Aduboffour, MD
• Adult & Pediatric Urology Group of Maryland LLC
• Adult Day Health, Inc. (Maryland Avenue Adult Daycare Center)
• Adult Medical Daycare of Homeland (Adult Medical Daycare of Overlea)
• Advance Adult Day Care L.L.C. (Friendship Adult Medical Day Center)
• Advance Foot Care and Medical Services,LLC

• Community Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.