Community Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMMUNITY CLINIC, INC.

Doing business as

Community Clinic

Practice address

3737 N Meridian St
Suite 402
Indianapolis, IN 46208-4348

Phone

(317) 924-3017

Fax

(317) 926-1435

NPI assigned

May 25, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shola Boye

Title

Clinic Administrator

Phone

(317) 924-3017

Specialties & licenses 1

Addresses

Other names 1

• Community Clinic Doing business as

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285927038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-924-3017",
            "fax_number": "317-926-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-924-3017",
            "fax_number": "317-926-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOYE",
        "authorized_official_first_name": "SHOLA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "317-924-3017"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Connect Care LLC
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• Community Dental Center (Glendale Family Dentistry)
• Community Eye Care of Indiana, Inc
• Community Health at Home, LLC

• Primary Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.