COMMUNITY CLINIC INC (NPI# 1407388754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407388754 |
Entity Type | Organization |
Organization Name | COMMUNITY CLINIC INC |
Other Organization Name | CCI HEALTH & WELLNESS SERVICES |
Practice Address |
2 Taft Ct Rockville MD 20850-1307 |
Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
Practice Telephone | 2407537895 |
Practice Fax Number | 3014243948 |
Mailing Telephone | 3013407525 |
Mailing Fax Number | 3014950318 |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |
Authorized Official Name | KATHLEEN A KNOLHOFF (CHEIF EXECUTIVE OFFICER & PRESIDENT) |
Authorized Official Telephone | 2404992609 |
Authorized Official Credential | M.P.H. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CCI Health & Wellness Services | Doing Business As Name - Organization |
Street Address |
2 TAFT CT |
City | ROCKVILLE |
State | MD |
Zip Code | 20850-1307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134591985 | Cornerstone Montgomery, Inc. | Clinic/Center | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-20 |
1245866052 | Steven Karkos | Social Worker | 2 Taft Ct, Rockville, MD 20850-1390 | 2020-03-13 |
1922582824 | Julianne Tortolano Retzer | Counselor | 2 Taft Ct, Rockville, MD 20850-1390 | 2018-09-18 |
1164963955 | Sarah Moore | Social Worker | 2 Taft Ct, Suite 200, Rockville, MD 20850-1307 | 2017-03-14 |
1528509213 | Rachel Meyer | Social Worker | 2 Taft Ct, Suite 200, Rockville, MD 20850-1307 | 2017-03-14 |
1871943381 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2016-06-15 |
1154793065 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-30 |
1962874875 | Cornerstone Montgomery, Inc | Community Based Residential Treatment Facility, Mental Illness | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-30 |
1851763494 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct, A, Rockville, MD 20850-1307 | 2015-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
Find all providers in zip 20850 |
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 |
---|---|---|---|---|
1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
1093259681 | Valley Professionals Community Health Center Inc | Clinic/Center | 727 N. Lincoln Rd, Rockville, IN 47872-1117 | 2016-12-15 |
1508160912 | Community Clinic Inc. | Clinic/Center | 751 Twinbrook Pkwy, First Floor, Rockville, MD 20851-1400 | 2010-12-28 |
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1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 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 |
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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.