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PORTLAND COMMUNITY HEALTH CENTER NPI 1013331495


NPI Information

NPI: 1013331495
Provider Name: PORTLAND COMMUNITY HEALTH CENTER

Doing Business As: PORTLAND COMMUNITY HEALTH CENTER- HEALTH CARE FOR THE HOMELESS PROGRAM

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
63 PREBLE ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-2141
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PORTLAND COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Portland, ME. PORTLAND COMMUNITY HEALTH CENTER NPI is 1013331495. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Portland Community Health Center- Health Care For The Homeless Program.

The provider's business location address is:

63 PREBLE ST
PORTLAND, ME
ZIP 04101-014
Phone: (207) 874-2141
Fax: (207) 874-2164

The provider's authorized official is Ann Tucker .
The authorized official title is Cfo and has the following contact phone number (207) 874-2141.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 6/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)H80CS256800202MAINEYes

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

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