HEALTHREACH COMMUNITY HEALTH CENTERS NPI 1568435345

NPI Information

NPI: 1568435345
Provider Name: HEALTHREACH COMMUNITY HEALTH CENTERS

Doing Business As: BETHEL FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
32 RAILROAD ST
BETHEL, ME
ZIP 04217
Phone: (207) 824-2193
Get Directions

HEALTHREACH COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Bethel, ME. HEALTHREACH COMMUNITY HEALTH CENTERS NPI is 1568435345. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethel Family Health Center.

The provider's business location address is:

32 RAILROAD ST
BETHEL, ME
ZIP 04217-367
Phone: (207) 824-2193
Fax: (207) 824-3138

The provider's authorized official is Constance R Coggins .
The authorized official title is President/ceo and has the following contact phone number (207) 872-5610.

The CLIA number assigned to this NPI record is 20D0665749 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/10/2006 and was last updated on 11/10/2014.

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)	E58728	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	201814	MEDICARE OSCAR/CERTIFICATION	MAINE
2	MM7917	MEDICARE ID-TYPE UNSPECIFIED
3	CA2004	MEDICARE PIN	MAINE
4	137970100	MEDICAID	MAINE

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »