Isb Community Health Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ISB COMMUNITY HEALTH CLINIC

Practice address

6623 Johnnycake Rd
Windsor Mill, MD 21244-2401

Phone

(410) 744-1690

Fax

(410) 744-1691

NPI assigned

May 1, 2024

Organization subpart

Yes

Parent organization

ISLAMIC SOCIETY OF BALTIMORE, MD, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Fajr Khokhar

Title

Practice Manager

Phone

(667) 802-0425

Specialties & licenses 3

Addresses

Part of

Isb Community Health Clinic

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20954/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1043067655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 JOHNNYCAKE RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442401",
            "telephone_number": "410-744-1690",
            "fax_number": "410-744-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 JOHNNYCAKE RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442401",
            "telephone_number": "410-744-1690",
            "fax_number": "410-744-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISB COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAMIC SOCIETY OF BALTIMORE, MD, INC",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KHOKHAR",
        "authorized_official_first_name": "FAJR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "667-802-0425",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.