Community Clinic, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Greenbelt, MD. Organization (NPI-2).
NPI number1326505090
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1326505090
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Feb 28, 2019
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 208000000X | Pediatrics | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Cci Health Services (Doing Business As)
Practice location
7474 Greenway Center Dr Ste 300Greenbelt, MD 20770-3592
Phone 240-624-2278 · Fax 240-624-2279
Mailing address
8665 Georgia AveSilver Spring, MD 20910-3405
Phone 301-340-7525 · Fax 301-495-0318
Authorized official
Sonya J Bruton
Ceo
2408395107
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