Community Clinic, Inc.
LBN: Community Clinic, Inc.
Community Clinic, Inc. is an health care organization with primary practice located at 220 Girard St # 100 , Gaithersburg MD 20877-3467. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Clinic, Inc. can be contacted via phone (301) 216-0880, or through Bruton, Sonya via phone (866) 520-9102.
Contact Information
Primary practice address
220 Girard St # 100
Gaithersburg MD 20877-3467
Phone: (301) 216-0880
Fax: (301) 216-2891
Website:
Health care specialties
Profile Details
| NPI number | 1699817775 |
|---|---|
| LBN Legal business name | Community Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Bruton, Sonya |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699817775 | NPPES |
| Maryland | MEDICAID | 130061000 |
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