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FP20770 COMMUNITY CLINIC, INC. (Terminated)
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Main Details
Name
COMMUNITY CLINIC, INC.
Subdivision Name
FAMILY PLANNING - Greenbelt
Type
Family Planning (Title X only)
340B ID
FP20770
Grant Number
FPHPA006403
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
5/15/2023
Termination Date
Termination Reason
7/1/2024
Failure to recertify
Contacts
Authorizing Official
Community Clinic, Inc. (CCI)
Sonya J. Bruton, CEO and President
(240) 839-5107
Primary Contact
Community Clinic, Inc.
Robert J Baror, Chief Legal Officer and General Counsel
(301) 340-7525 Ext: 1185
Addresses
Street Address
9220 Springhill Drive
Greenbelt, MD 20770
Billing Address
COMMUNITY CLINIC, INC.
8665 Georgia Avenue
Silver Spring, MD 20910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (07/01/2009) until terminated effective date (7/1/2018), reinstatement date effective date (10/01/2018)
07/11/2018
June 2025
June 2025
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