Amazing Healthcare Clinic Corporation
Clinic/Center in Hyattsville, MD. Organization (NPI-2).
NPI number1154966646
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1154966646
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Healthcare Clinic Corporation
- Organization subpart
- No
- Enumeration date
- Nov 8, 2019
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
6495 New Hampshire Ave # A203Hyattsville, MD 20783-3245
Phone 301-798-5583
Mailing address
6495 New Hampshire Ave # A203Hyattsville, MD 20783-3245
Phone 301-798-5583 · Fax 301-798-6260
Authorized official
Bosede M Adeleye
Provider
3015129449
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All 7 Clinic/Center providers in Hyattsville · All 2,789 providers in Hyattsville
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