Organization
COMMUNITY CLINIC, INC.
Active
Organization
COMMUNITY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA BRUTON (CEO)
(866) 520-9102
Entity
Organization
Contact information
Practice address
220 GIRARD ST # 100, GAITHERSBURG, MD 20877-3467
(301) 216-0880
(301) 216-2891
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130061000
—
MD
Enumeration date
02/13/2007
Last updated
11/09/2023
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