CCI HEALTH SERVICES – NPI #1467034033
Clinic/Center

CCI HEALTH SERVICES is an AHC clinic located in WHEATON, MD. NPPES has assigned the NPI number 1467034033 to CCI HEALTH SERVICES on April 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCI HEALTH SERVICES” is a dba name, the actual legal business name for this organization is COMMUNITY CLINIC, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCI HEALTH SERVICES below.

NPI Profile for
COMMUNITY CLINIC, INC.

NPI Number
1467034033
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CLINIC, INC.
Doing Business As (dba): CCI HEALTH SERVICES
Primary location
2730 UNIVERSITY BLVD WEST, #LL10
WHEATON, MD 20902
Phone: (301) 933-6680 Fax: (301) 495-0318
Mailing address
8665 GEORGIA AVE
SILVER SPRING, MD 20910-3405
Phone: (301) 340-7525 Fax: (301) 495-0318
Organization Subpart
Yes - CCI HEALTH SERVICES is subpart of another organization.
Authorized Official
SONYA BRUTON
CEO
Phone: (240) 839-5107
Updated
Certification Date
Dec 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CCI HEALTH SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREMD053601
medicaidMD130061000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.