Cci Health Services

LBN: Community Clinic, Inc.
Cci Health Services is an health care organization with primary practice located at 200 Girard St Suite 206, Gaithersburg MD 20877-3466. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Clinic, Inc. can be contacted via phone (240) 720-0510, or through Bruton, Sonya J via phone (240) 839-5107.

Contact Information

Primary practice address
200 Girard St Suite 206 Gaithersburg MD 20877-3466
Fax: (240) 631-2280
Website:
Authorized official contact:
Name: Bruton, Sonya J

Health care specialties

Profile Details

NPI number 1619287638
LBN Legal business name Community Clinic, Inc.
DBA Doing business as Cci Health Services
Authorized official Bruton, Sonya J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2010
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 1619287638 NPPES
Maryland MEDICAID 331504500
Maryland Other 053601

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