Cci

LBN: Community Clinic, Inc
Cci is an health care organization with primary practice located at 8630 Fenton St Suite 1200, Silver Spring MD 20910-3806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Clinic, Inc can be contacted via phone (301) 585-1250, or through Bruton, Sonya J via phone (240) 839-5107.

Contact Information

Primary practice address
8630 Fenton St Suite 1200 Silver Spring MD 20910-3806
Phone: (301) 585-1250
Fax: (301) 585-6289
Website:
Map and Directions
Authorized official contact:
Name: Bruton, Sonya J
Phone: (240) 839-5107

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1124169073
LBN Legal business name Community Clinic, Inc
DBA Doing business as Cci
Authorized official Bruton, Sonya J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124169073 NPPES
Maryland MEDICAID 130061000

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