COMMUNITY CLINIC INC. NPI 1275876617

NPI Information

NPI: 1275876617
Provider Name: COMMUNITY CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: CCI HEALTH SERVICES
Address: 9220 SPRINGHILL DRIVE
GREENBELT, MD
ZIP 20770
Phone: (240) 624-2278

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NPI Details

COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Greenbelt, MD. COMMUNITY CLINIC, INC. NPI is 1275876617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cci Health Services.

The provider's business location address is:

9220 SPRINGHILL DRIVE
GREENBELT, MD
ZIP 20770-203
Phone: (240) 624-2278
Fax: (240) 624-2279

The provider's authorized official is Sonya J Bruton .
The authorized official title is Ceo and has the following contact phone number (240) 839-5107.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208000000X	Pediatrics		No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LW0102X	Nurse Practitioner	Women's Health	No
4	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	No
5	367A00000X	Advanced Practice Midwife		No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	053601	OTHER	MARYLAND	MEDICARE
2	130061000	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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