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PORTLAND COMMUNITY HEALTH CENTER NPI 1659826550


NPI Information

NPI: 1659826550
Provider Name: PORTLAND COMMUNITY HEALTH CENTER

Doing Business As: KING MIDDLE SCHOOL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
92 DEERING AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 756-8499
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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 1659826550. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As King Middle School.

The provider's business location address is:

92 DEERING AVE
PORTLAND, ME
ZIP 04102-901
Phone: (207) 756-8499

The provider's authorized official is Leslie Clark .
The authorized official title is Ceo and has the following contact phone number (207) 874-2141.

The enumeration date for this NPI number is 8/20/2016 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)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

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.