<Unavail>
LBN: Community Clinic, Inc
<Unavail> is an health care organization with primary practice located at 8630 Fenton St Ste 1200 , Silver Spring MD 20910-3808. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, 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 / Women's Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Clinic, Inc can be contacted via phone (301) 585-1250, or through Bruton, Sonya J via phone (240) 839-5107.
Contact Information
Primary practice address
8630 Fenton St Ste 1200
Silver Spring MD 20910-3808
Phone: (301) 585-1250
Fax: (301) 585-6289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| 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 / Women's Health | 363LW0102X |
Profile Details
| NPI number | 1922133164 |
|---|---|
| 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 21st, 2007 |
| Last updated | Dec 13th, 2024 - about 2 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 | 1922133164 | NPPES |
| Maryland | MEDICAID | 130061003 |
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