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CHC10591-07 COMMUNITY CLINIC, INC., THE (Active)
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Main Details
Name
COMMUNITY CLINIC, INC., THE
Subdivision Name
CCI Gaithersburg Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008762
340B ID
CHC10591-07
Grant Number
H80CS10591
Additional Details
Current Program Status
Active
Registration Date
10/7/2013
Participating Start Date
1/1/2014
Participating Approval Date
10/28/2013
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
200 Girard St. STE 206
Gaithersburg, MD 20877-3490
Billing Address
Community Clinic, Inc.
8630 Fenton Street, #1204
Silver Spring, MD 20910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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