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CHC10591-00 COMMUNITY CLINIC, INC. (Active)
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Main Details
Name
COMMUNITY CLINIC, INC.
Subdivision Name
CCI-Takoma Park
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007693
340B ID
CHC10591-00
Grant Number
H80CS10591
Additional Details
Current Program Status
Active
Registration Date
6/18/2009
Participating Start Date
4/1/2005
Participating Approval Date
6/18/2009
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Clinic, Inc. (CCI)
Sonya J. Bruton, CEO and President
(240) 839-5107
Primary Contact
CCI Health and Wellness
marvhe howard, Pharmacy Director
(667) 770-6534
Addresses
Street Address
7676 NEW HAMPSHIRE AVENUE
Suite 200
TAKOMA PARK, MD 20912
Billing Address
COMMUNITY CLINIC, INC. (ADMINISTRATIVE OFFICE)
8630 Fenton St, SUITE 1204
Silver Spring, MD 20910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/18/09 SUITE CHANGE (WAS 200) AND ADDED MEDICAID#; 7/28/05 - NEW CONTACT
08/06/2010
April 2025
April 2025
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