# COMMUNITY CLINIC, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CCI Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588480305
- **Authorized official:** ALISA BRIGHTLEY (LEAD CREDENTIALING SPECIALIST)
- **Authorized official phone:** (240) 297-6758

## Contact information

- **Practice address:** 200 GIRARD ST STE 206, GAITHERSBURG, MD 20877-3490
- **Practice address phone:** (240) 720-0510
- **Mailing address:** 8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 11/26/2024
- **Last updated:** 12/02/2024