Cci Health Services
LBN: Community Clinic, Inc.
Cci Health Services is an health care organization with primary practice located at 7676 New Hampshire Ave Ste 220A , Takoma Park MD 20912-7514. The organization recently has 8 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Clinic, Inc. can be contacted via phone (301) 431-2972, or through Bruton, Sonya J via phone (240) 839-5107.
Contact Information
Primary practice address
7676 New Hampshire Ave Ste 220A
Takoma Park MD 20912-7514
Phone: (301) 431-2972
Fax: (301) 445-1037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Agencies / Voluntary or Charitable | 251V00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1790730281 |
|---|---|
| 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 | May 23rd, 2006 |
| 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 | 1790730281 | NPPES |
| Maryland | Other | 053601 | MEDICARE |
| Maryland | MEDICAID | 130061000 | MEDICARE |
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