| Community Clinic, Inc. | |
|
220 Girard St # 100 Gaithersburg MD 20877-3467 | |
| (301) 216-0880 | |
| (301) 216-2891 |
| Full Name | Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Girard St # 100, Gaithersburg, Maryland |
| Authorized Official Name and Position | Sonya Bruton (CEO) |
| Authorized Official Contact | 8665209102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic, Inc. 8665 Georgia Ave Silver Spring MD 20910-3405 Ph: (301) 340-7525 | Community Clinic, Inc. 220 Girard St # 100 Gaithersburg MD 20877-3467 Ph: (301) 216-0880 |
| NPI Number | 1699817775 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 6204722614 |
|---|---|
| Medicare Enrollment ID | O20111128000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699817775 | NPI | - | NPPES |
| 130061000 | Medicaid | MD |
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