COMMUNITY CLINIC, INC (NPI# 1124169073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124169073 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC, INC |
| Other Organization Name | CCI |
| Practice Address |
8630 Fenton St Suite 1200 Silver Spring MD 20910-3806 |
| Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
| Practice Telephone | 3015851250 |
| Practice Fax Number | 3015856289 |
| Mailing Telephone | 3013407525 |
| Mailing Fax Number | 3017624234 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | DR. JOHN WILLIAM FLYNT (CEO) |
| Authorized Official Telephone | 2404992614 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 130061000 | 05 |
| Other Name | Type Code |
|---|---|
| CCI | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154372860 | Community Clinic, Inc | Clinic/Center | 210 W Olmos Dr, San Antonio, TX 78212-1956 | 2006-05-15 |
| Street Address |
8630 FENTON ST SUITE 1200 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751531 | Gary Lucombe | Dentist | 8630 Fenton St, Ste 204, Silver Spring, MD 20910-3813 | 2005-06-23 |
| 1538706668 | Uchechi Esochaghi | Family Medicine | 8630 Fenton St, Silver Spring, MD 20910-3806 | 2019-12-09 |
| 1982144564 | Joyce Martinez | Dental Hygienist | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2017-03-02 |
| 1619411816 | Sharon Millsaps | Counselor | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2016-12-07 |
| 1871046656 | Kathleen Benik | Registered Nurse | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2016-07-28 |
| 1578016432 | Nora Rodriguez | Registered Nurse | 8630 Fenton St, Suite Number 1204, Silver Spring, MD 20910-3806 | 2016-07-27 |
| 1760853741 | Saundra Matthews | Registered Nurse | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2015-10-15 |
| 1265808984 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 8630 Fenton St, Suite 1, Silver Spring, MD 20910-3806 | 2015-08-17 |
| 1477950814 | Jennifer Antelo Martinec | Registered Nurse | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2014-12-01 |
| 1275938128 | Lianna Bissell | Registered Nurse | 8630 Fenton St, Suite 1200, Silver Spring, MD 20910-3806 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
| 1902303290 | Susan Lee Mckenna | Clinic/Center | 2730 University Blvd W, Silver Spring, MD 20902-1905 | 2018-04-12 |
| 1336514223 | Community Clinic, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-12-03 |
| 1588968655 | Community Clinic Inc. | Clinic/Center | 8818 Georgia Ave, Second Floor, Silver Spring, MD 20910-2713 | 2011-01-05 |
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|---|---|---|---|---|
| 1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
| 1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| 1386157832 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1615 Tree Sap Ct Ste A, Salisbury, MD 21804-9403 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
Please comment or provide details below to improve the information on COMMUNITY CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.