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CHC10591-10 COMMUNITY CLINIC, INC., THE (Terminated)
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Main Details
Name
COMMUNITY CLINIC, INC., THE
Subdivision Name
Community Clinic Inc
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012463
340B ID
CHC10591-10
Grant Number
H80CS10591
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
2/3/2022
Termination Date
Termination Reason
7/1/2022
Never implemented the 340B Program
Contacts
Authorizing Official
Community Clinic, Inc. (CCI)
Sonya J. Bruton, CEO and President
(240) 839-5107
Primary Contact
Community Clinic, Inc. (CCI)
Naquita Makell, 340B Program Manager
(301) 340-7525 Ext: 3840
Addresses
Street Address
8630 Fenton Street
Suite 1204
Silver Spring, MD 20910-3806
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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