| Cci Health Services | |
|
2730 University Blvd West, #ll10 Wheaton MD 20902 | |
| (301) 933-6680 | |
| (301) 495-0318 |
| Full Name | Cci Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2730 University Blvd West, #ll10, Wheaton, Maryland |
| Authorized Official Name and Position | Sonya J Bruton (CEO) |
| Authorized Official Contact | 2408395107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cci Health Services 8665 Georgia Ave Silver Spring MD 20910-3405 Ph: (301) 340-7525 | Cci Health Services 2730 University Blvd West, #ll10 Wheaton MD 20902 Ph: (301) 933-6680 |
| NPI Number | 1467034033 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467034033 | NPI | - | NPPES |
| 053601 | Other | MD | MEDICARE |
| 130061000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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