Organization · Type 2 NPI
Community Clinic, Inc.
Federally Qualified Health Center (FQHC) · Wheaton, MD
NPI number
1467034033
Active
Practice location
2730 University Blvd West, #LL10
Wheaton, MD 20902
Fax (301) 495-0318
Mailing address
8665 Georgia Ave
Silver Spring, MD 20910-3405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatric Physical Therapist | 2251P0200X | None listed |
| Voluntary or Charitable Agency | 251V00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1467034033
Community Clinic, Inc.'s National Provider Identifier is 1467034033, issued on Apr 23, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wheaton, MD. The record was last updated on Dec 13, 2024.