340B Drug Pricing Program Database

Name

COMMUNITY CLINIC, INC., THE

Subdivision Name

Community Clinic at WAH

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012992

340B ID

CHC10591-11

Grant Number

H80CS10591

Current Program Status

Terminated

Registration Date

7/11/2014

Participating Start Date

10/1/2014

Participating Approval Date

7/21/2014

Last Recertification Date

2/9/2018

Termination Date
Termination Reason

4/1/2019
Site closure

Authorizing Official

Community Clinic, Inc.
Kathleen Knolhoff, CEO & President
(240) 499-2609

Primary Contact

Community Clinic, Inc.
Kameela Clark, Clinic Manager
(301) 234-0575

Street Address

7620 Carroll Avenue
Suite 101
Takoma Park, MD 20912

Billing Address

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