COMMUNITY CLINIC INC NPI 1922133164

NPI Information

NPI: 1922133164
Provider Name: COMMUNITY CLINIC, INC

Other Name: CCI

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
8630 FENTON ST STE 1200
SILVER SPRING, MD
ZIP 20910
Phone: (301) 585-1250
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COMMUNITY CLINIC, INC is a federally qualified health center (fqhc) clinic center in Silver Spring, MD. COMMUNITY CLINIC, INC NPI is 1922133164. The provider is registered as an organization entity type.
The provider Other Name Is Cci.

The provider's business location address is:

8630 FENTON ST STE 1200
SILVER SPRING, MD
ZIP 20910-808
Phone: (301) 585-1250
Fax: (301) 585-6289

The provider's authorized official is Sonya J Bruton .
The authorized official title is Phd.psy.d- Clinical Psychologistceo and has the following contact phone number (240) 839-5107.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130061003	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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