COMMUNITY CLINIC INC. (NPI# 1659674067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659674067 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC INC. |
| Practice Address |
610 E Diamond Ave Suite 300 Gaithersburg MD 20877-5321 |
| Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
| Practice Telephone | 2407903334 |
| Mailing Telephone | 3017407525 |
| Mailing Fax Number | 2404992602 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. MARGARET Y CHANG (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2404992615 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | MD | Ambulatory Health Care Facilities | |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 130061000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 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 |
| 1619287638 | Community Clinic Inc. | Dentist | 200 Girard St, Suite 206, Gaithersburg, MD 20877-3466 | 2010-10-08 |
| Street Address |
610 E DIAMOND AVE SUITE 300 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740270354 | Hector Jorge Parada | Psychiatry & Neurology | 610 E Diamond Ave, Suite 100a, Gaithersburg, MD 20877-5321 | 2005-10-25 |
| 1639777295 | Julia Christiana Rasnake | Social Worker | 610 E Diamond Ave, Gaithersburg, MD 20877-5321 | 2020-10-15 |
| 1114567450 | Angel Harriott | Counselor | 610 E Diamond Ave, Gaithersburg, MD 20877-5321 | 2020-01-15 |
| 1215499561 | Erika Quito | Social Worker | 610 E Diamond Ave, Gaithersburg, MD 20877-5321 | 2019-04-04 |
| 1659833804 | Emily Pitocchelli | Counselor | 610 E Diamond Ave, Gaithersburg, MD 20877-5321 | 2019-04-04 |
| 1568996593 | Kristin Krause | Social Worker | 610 E Diamond Ave, Suite 100, Gaithersburg, MD 20877-5321 | 2017-04-17 |
| 1730623539 | Megan Gleason | Social Worker | 610 E Diamond Ave, Suite 100, Gaithersburg, MD 20877-5321 | 2016-12-13 |
| 1427591817 | Veronica Suleiman | Social Worker | 610 E Diamond Ave, Suite 100, Gaithersburg, MD 20877-5321 | 2016-12-02 |
| 1508308719 | Cara Wagaman | Case Manager/Care Coordinator | 610 E Diamond Ave, Suite E, Gaithersburg, MD 20877-5321 | 2016-11-07 |
| 1194277624 | Brandon Hoste | Case Manager/Care Coordinator | 610 E Diamond Ave, 100, Gaithersburg, MD 20877-5321 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912164070 | Colonial Opticians of Poolesville Inc. | Clinic/Center | 718 Center Point Way, Gaithersburg, MD 20878-6469 | 2008-05-16 |
| 1558381152 | Laurence J.fields,dds & David H. Frome,dds,pa | Clinic/Center | 8 Russell Avenue, Suite 104, Gaithersburg, MD 20877-2962 | 2006-07-19 |
| 1528521705 | Osteopathic Physicians of The Potomac | Clinic/Center | 10810 Darnestown Rd Ste 205, Gaithersburg, MD 20878-2601 | 2019-04-13 |
| 1508298837 | Kaiser Permanente | Clinic/Center | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2013-08-09 |
| 1720347727 | Parents Choice Pediatric and Occupational Therapy Cener | Clinic/Center | 8945 N Westland Dr, Suite 200 A, Gaithersburg, MD 20877-1249 | 2012-05-10 |
| 1649543513 | Premise Health of Maryland Medical P C | Clinic/Center | 1 Medimmune Way, Gaithersburg, MD 20878 | 2012-02-22 |
| 1629282983 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-05-09 |
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| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.