| Community Clinic, Inc | |
|
7615 Ora Glen Dr Greenbelt MD 20770-3642 | |
| (301) 340-7525 | |
| Not Available |
| Full Name | Community Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7615 Ora Glen Dr, Greenbelt, Maryland |
| Authorized Official Name and Position | Alisa Brightley (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2702976758 |
| 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) 495-0318 | Community Clinic, Inc 7615 Ora Glen Dr Greenbelt MD 20770-3642 Ph: (301) 340-7525 |
| NPI Number | 1255179644 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Medicare PECOS PAC ID | 6204722614 |
|---|---|
| Medicare Enrollment ID | O20250611000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255179644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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