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:
Map and Directions
Authorized official contact:
Name: Bruton, Sonya J
Phone: (240) 839-5107

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790730281 NPPES
Maryland Other 053601 MEDICARE
Maryland MEDICAID 130061000 MEDICARE

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