COMMUNITY CLINIC INC. (NPI# 1326505090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326505090 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC INC. |
| Practice Address |
7474 Greenway Center Dr # 300 Greenbelt MD 20770-3504 |
| Mailing Address |
8630 Fenton St Ste 1204 Silver Spring MD 20910-3808 |
| Practice Telephone | 2406242278 |
| Practice Fax Number | 2406242279 |
| Mailing Telephone | 2408395811 |
| Mailing Fax Number | 3014950318 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | MS. NAZAARAH D BELL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3013407525 |
| Authorized Official Credential | N/A |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CLINIC INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538406657 | Community Clinic Inc. | Clinic/Center | 8630 Fenton St, 12th Floor Suite 1204, Silver Spring, MD 20910-3806 | 2013-01-09 |
| 1588968655 | Community Clinic Inc. | Clinic/Center | 8818 Georgia Ave, Second Floor, Silver Spring, MD 20910-2713 | 2011-01-05 |
| 1508160912 | Community Clinic Inc. | Clinic/Center | 751 Twinbrook Pkwy, First Floor, Rockville, MD 20851-1400 | 2010-12-28 |
| 1659674067 | Community Clinic Inc. | Clinic/Center | 610 E Diamond Ave, Suite 300, Gaithersburg, MD 20877-5321 | 2010-12-08 |
| 1619287638 | Community Clinic Inc. | Dentist | 200 Girard St, Suite 206, Gaithersburg, MD 20877-3466 | 2010-10-08 |
| Street Address |
7474 GREENWAY CENTER DR # 300 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1063050169 | Baltimore Medical System Inc | Clinic/Center | 7501 Greenway Center Dr Ste 600, Greenbelt, MD 20770-6704 | 2019-12-19 |
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| 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 |
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| 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.