COMMUNITY CLINICAL SERVICES INC. NPI 1184702821

NPI Information

NPI: 1184702821
Provider Name: COMMUNITY CLINICAL SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
57 BIRCH ST STE 102
LEWISTON, ME
ZIP 04240
Phone: (207) 753-5400
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COMMUNITY CLINICAL SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Lewiston, ME. COMMUNITY CLINICAL SERVICES, INC. NPI is 1184702821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

57 BIRCH ST STE 102
LEWISTON, ME
ZIP 04240-415
Phone: (207) 753-5400
Fax: (207) 786-0489

The provider's authorized official is Coleen L Elias .
The authorized official title is Ceo/cfo and has the following contact phone number (207) 513-3897.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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