Provider Demographics
NPI:1851660526
Name:MUSLIM COMMUNITY CENTER
Entity Type:Organization
Organization Name:MUSLIM COMMUNITY CENTER
Other - Org Name:MCC MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-789-3216
Mailing Address - Street 1:15200 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5631
Mailing Address - Country:US
Mailing Address - Phone:301-384-2166
Mailing Address - Fax:301-384-0166
Practice Address - Street 1:15200 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5631
Practice Address - Country:US
Practice Address - Phone:301-384-2166
Practice Address - Fax:301-384-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health