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Organization
COMMUNITY CLINIC, INC
Active
Organization
COMMUNITY CLINIC, INC
Active
Other names
CCI Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA BRIGHTLEY (LEAD CREDENTIALING SPECIALIST)
(240) 297-6758
Entity
Organization
Contact information
Practice address
200 GIRARD ST STE 206, GAITHERSBURG, MD 20877-3490
(240) 720-0510
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
11/26/2024
Last updated
12/02/2024
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