<Unavail>
LBN: Community Clinic, Inc.
<Unavail> is an health care organization with primary practice located at 7474 Greenway Center Dr Ste 300 , Greenbelt MD 20770-3592. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Clinic, Inc. can be contacted via phone (240) 624-2278, or through Bruton, Sonya J via phone (240) 839-5107.
Contact Information
Primary practice address
7474 Greenway Center Dr Ste 300
Greenbelt MD 20770-3592
Phone: (240) 624-2278
Fax: (240) 624-2279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1326505090 |
|---|---|
| LBN Legal business name | Community Clinic, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Bruton, Sonya J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2019 |
| Last updated | Nov 9th, 2023 - about 3 years ago |
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 | 1326505090 | NPPES |
| Maryland | Other | 053601 | MEDICARE PIN |
| Maryland | MEDICAID | 130061000 | MEDICARE PIN |
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