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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