| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COMMUNITY CLINIC, INC | 1124169073 | 2024-11-08 |
The organization Community Clinic, Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1124169073. Registration indicates Community Clinic, Inc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Federally Qualified Health Center (FQHC),, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Federally Qualified Health Center (FQHC),, Ambulatory Health Care Facilities) (Clinic/Center, )
| Address | City / State | Phone / Fax |
|---|---|---|
| 2730 University Blvd W Ste Ll10 | Wheaton, MD 209021905 | 8668777258 / 3014950318 |
| 220 Girard St Ste 100 | Gaithersburg, MD 208773467 | 3012160880 / 3012162891 |
| 9220 Springhill Ln | Greenbelt, MD 207701203 | 2406242323 / 2406242029 |
| 7474 Greenway Center Dr Ste 300 | Greenbelt, MD 207703592 | 2406242278 / 2406242279 |
| 7676 New Hampshire Ave Ste 220A | Takoma Park, MD 209127514 | 3014312972 / 3014451037 |
| 200 Girard St Ste 206 | Gaithersburg, MD 208773490 | 2407200510 / 2406312280 |
| Code | Practice | License No State |
|---|---|---|
| 261QF0400X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Federally Qualified Health Center (FQHC), FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Clinic/Center Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities Clinic/Center |
| 130061000 | MEDICAID | MD |