COMMUNITY CLINIC, INC. (NPI# 1790730281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790730281 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC, INC. |
| Practice Address |
7676 New Hampshire Avenue Suite 220 A Takoma Park MD 20912 |
| Mailing Address |
8630 Fenton Street Suite 1204 Silver Spring MD 20910 |
| Practice Telephone | 3014312972 |
| Practice Fax Number | 3014390008 |
| Mailing Telephone | 3017407525 |
| Mailing Fax Number | 2044992602 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | DR. MARGARET Y CHANG (CMO) |
| Authorized Official Telephone | 2404992615 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1300610 | 05 | |
| MD | 130061000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063754026 | Community Clinic, Inc. | Pediatrics | 8210 Dixon Ave, Silver Spring, MD 20910-5711 | 2013-03-18 |
| 1265676738 | Community Clinic, Inc. | Clinic/Center | 9001 Edmonston Road, Suite 40, Greenbelt, MD 20770 | 2009-04-28 |
| 1699817775 | Community Clinic, Inc. | Clinic/Center | 220 Girard St, Gaithersburg, MD 20877-3467 | 2007-02-13 |
| 1336514223 | Community Clinic, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-12-03 |
| 1760805139 | Community Clinic, Inc. | Clinic/Center | 1400 Spring St, Suite 200, Silver Spring, MD 20910-2735 | 2014-01-21 |
| 1073934238 | Community Clinic, Inc. | Family Medicine | 7620 Carroll Ave, Suite 101, Takoma Park, MD 20912-6387 | 2013-12-13 |
| 1275876617 | Community Clinic, Inc. | Dentist | 9220 Springhill Drive, Greenbelt, MD 20770-1203 | 2013-04-04 |
| 1285927038 | Community Clinic, Inc. | Clinic/Center | 3737 N Meridian St, Suite 402, Indianapolis, IN 46208-4348 | 2011-05-25 |
| 1922133164 | Community Clinic, Inc. | Voluntary or Charitable | 8630 Fenton Street, Suite 1204, Silver Spring, MD 20910 | 2007-02-21 |
| Street Address |
7676 NEW HAMPSHIRE AVENUE SUITE 220 A |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336213305 | Srean Y Lor | Dentist | 7676 New Hampshire Avenue, Srean Y Lor Dmd PC Suite 224, Takoma Park, MD 20912 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
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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.