MEDICARE: COMMUNITY CLINIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1295613891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CLINIC, INC

Provider Business Mailing Address
First Line	:	8665 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8630 FENTON ST STE 1106
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3836
Country	:	US
Telephone Number	:	877-866-7258
Fax Number	:

Authorized Official
Title or Position	:	ENROLLMENT SPECIALIST
Name	:	LATECHIA SAHRELL CHAMBERS
Credential	:
Telephone Number	:	240-839-4363

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	01/05/2026

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Directions to “COMMUNITY CLINIC, INC ” Practice Location

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