COMMUNITY CLINIC, INC. (NPI# 1336514223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336514223 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC, INC. |
| Other Organization Name | COMMUNITY CLINIC, INC. |
| Practice Address |
1398 Lamberton Dr Silver Spring MD 20902-3414 |
| Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
| Practice Telephone | 3013649390 |
| Practice Fax Number | 3016817037 |
| Mailing Telephone | 3013407525 |
| Mailing Fax Number | 3014950318 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | MARCIA B LOBRANO (CMO) |
| Authorized Official Telephone | 2404992615 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 130061000 | 05 | |
| MD | 331504500 | 05 |
| Other Name | Type Code |
|---|---|
| Community Clinic, Inc. | Doing Business As Name - Organization |
| 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 |
| 1790730281 | Community Clinic, Inc. | Clinic/Center | 7676 New Hampshire Avenue, Suite 220 A, Takoma Park, MD 20912 | 2006-05-23 |
| 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 |
1398 LAMBERTON DR |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379947 | Threshold Services, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3421 | 2006-06-03 |
| 1184234734 | Loretta Claye | Registered Nurse | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2020-08-07 |
| 1184262560 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2019-12-16 |
| 1851849004 | Harriet Obeng | Licensed Practical Nurse | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2016-09-16 |
| 1073068862 | Fatima Queen | Licensed Practical Nurse | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2016-08-22 |
| 1033565502 | David Bridges | Registered Nurse | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2016-05-13 |
| 1619349529 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-10-30 |
| 1437521341 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-10-30 |
| 1174995781 | Cornerstone Montgomery, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-10-22 |
| 1861766610 | Antonia Chantal Tsutsumi | Social Worker | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2012-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| 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 |
|---|---|---|---|---|
| 1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
| 1902303290 | Susan Lee Mckenna | Clinic/Center | 2730 University Blvd W, Silver Spring, MD 20902-1905 | 2018-04-12 |
| 1588968655 | Community Clinic Inc. | Clinic/Center | 8818 Georgia Ave, Second Floor, Silver Spring, MD 20910-2713 | 2011-01-05 |
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|---|---|---|---|---|
| 1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
| 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 |
| 1386157832 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1615 Tree Sap Ct Ste A, Salisbury, MD 21804-9403 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
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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.