COMMUNITY CLINICAL SERVICES INC. NPI 1376836965

NPI Information

NPI: 1376836965
Provider Name: COMMUNITY CLINICAL SERVICES, INC.

Doing Business As: LEWISTON MIDDLE SCHOOL BASED HEALTH CENTER - PSYCH PROVIDERS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
75 CENTRAL AVE
LEWISTON, ME
ZIP 04240
Phone: (207) 795-4180
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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 1376836965. The provider is registered as an organization entity type.
The provider Is Doing Business As Lewiston Middle School Based Health Center - Psych Providers.

The provider's business location address is:

75 CENTRAL AVE
LEWISTON, ME
ZIP 04240-031
Phone: (207) 795-4180
Fax: (207) 753-6419

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 5/16/2011 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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

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

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