CITY OF PORTLAND MAINE NPI 1689799504

NPI Information

NPI: 1689799504
Provider Name: CITY OF PORTLAND MAINE
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 20D2196935

Address:
39 FOREST AVE
PORTLAND, ME
ZIP 04101
Phone: (207) 874-8446
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CITY OF PORTLAND MAINE is a public health and state or local clinic center in Portland, ME. CITY OF PORTLAND MAINE NPI is 1689799504. The provider is registered as an organization entity type.

The provider's business location address is:

39 FOREST AVE
PORTLAND, ME
ZIP 04101-912
Phone: (207) 874-8446

The provider's authorized official is Alferdo E. Vergara .
The authorized official title is Public Health Director and has the following contact phone number (207) 956-4013.

The CLIA number assigned to this NPI record is 20D2196935 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/1/2024.

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)	H80CS00005-04-00	MAINE	No
2	261QP0905X	Clinic/Center	Public Health, State or Local			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

NPI Synchronization or Removal

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