340B Drug Pricing Program Database

Name

COMMUNITY CLINIC, INC., THE

Subdivision Name

CCI - Silver Spring Community Vision

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012632

340B ID

CHC10591-06

Grant Number

H80CS10591

Current Program Status

Terminated

Registration Date

10/7/2013

Participating Start Date

1/1/2014

Participating Approval Date

10/28/2013

Last Recertification Date

3/7/2016

Termination Date
Termination Reason

4/1/2016
Loss of qualifying grant/support

Authorizing Official

Marcia LoBrano, Chief Medical Officer
(240) 499-2615

Primary Contact

Community Clinic, Inc.
Veronica Mendoza, Clinic Manager
(240) 638-1160

Street Address

8210 Dixon Ave.
Silver Spring, MD 20910-5711

Billing Address

Community Clinic, Inc
8630 Fenton Street #1204
Silver Spring, MD 20910