Organization
COMMUNITY CLINIC, INC.
Active
Other names
CCI Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA J BRUTON (CEO)
(240) 839-5107
Entity
Organization
Contact information
Practice address
7676 NEW HAMPSHIRE AVE STE 220A, TAKOMA PARK, MD 20912-7514
(301) 431-2972
(301) 445-1037
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130061000
—
MD
Enumeration date
05/23/2006
Last updated
04/07/2026
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