| NPI | 1124169073 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-02-12 |
| Last Updated | 2025-08-07 |
| Authorized Official | Sonya Bruton CEO & President Phone: 2408395107 |
| Mailing Address | 8665 Georgia Ave Silver Spring, MD 20910-3405 United States Phone: (301) 340-7525 | Fax: (301) 495-0318 📍 View Map |
| Primary Practice Address | 8630 Fenton St, Suite 1200 Silver Spring, MD 20910-3806 United States Phone: (301) 585-1250 | Fax: (301) 585-6289 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 251V00000X – Voluntary or Charitable | — | — |
| No | 261QC1500X – Clinic/Center, Community Health | — | — |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
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About NPI 1124169073
Community Clinic, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124169073. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Silver Spring, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124169073?
NPI 1124169073 belongs to Community Clinic, Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Silver Spring, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124169073 active?
The current status of NPI 1124169073 in the NPPES registry is Active. The record was last updated on 2025-08-07.
What specialty is NPI 1124169073?
NPI 1124169073 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124169073?
You can verify NPI 1124169073 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124169073?
The primary practice address on file for NPI 1124169073 is 8630 Fenton St, Silver Spring, MD 20910-3806. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124169073 issued?
NPI 1124169073 was first issued (enumerated) on 2007-02-12. The NPPES record was last updated on 2025-08-07.
Practice Location Map
Community Clinic, Inc is located at 8630 Fenton St, Silver Spring, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Community Clinic, Inc. All records sourced from the CMS NPPES registry.