COMMUNITY CLINIC INC. NPI 1467034033

NPI Information

NPI: 1467034033
Provider Name: COMMUNITY CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: CCI HEALTH SERVICES
CLIA Number: 21D0701179
Address: 2730 UNIVERSITY BLVD WEST, #LL10
WHEATON, MD
ZIP 20902
Phone: (301) 933-6680

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NPI Details

COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Wheaton, MD. COMMUNITY CLINIC, INC. NPI is 1467034033. 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:

2730 UNIVERSITY BLVD WEST, #LL10
WHEATON, MD
ZIP 20902
Phone: (301) 933-6680
Fax: (301) 495-0318

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 CLIA number assigned to this NPI record is 21D0701179 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/23/2021 and was last updated on 12/13/2024.

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	207R00000X	Internal Medicine		No
2	2251P0200X	Physical Therapist	Pediatrics	No
3	251V00000X	Voluntary or Charitable		No
4	261QC1500X	Clinic/Center	Community Health	No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
6	363LF0000X	Nurse Practitioner	Family	No

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: 11/21/2025

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