PORTLAND COMMUNITY HEALTH CENTER NPI 1164963450

NPI Information

PORTLAND COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Portland, ME. PORTLAND COMMUNITY HEALTH CENTER NPI is 1164963450. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ocean Ave School.

The provider's business location address is:

150 OCEAN AVE
PORTLAND, ME
ZIP 04103-746
Phone: (207) 874-2141

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 3/20/2017 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:

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