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
Phone: (240) 720-0510
Fax: (240) 631-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14217 | Maryland |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
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 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 | 1619287638 | NPPES |
| Maryland | MEDICAID | 331504500 | |
| Maryland | Other | 053601 |
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