COMMUNITY CLINICAL SERVICES INC. NPI 1760774392

NPI Information

NPI: 1760774392
Provider Name: COMMUNITY CLINICAL SERVICES, INC.

Doing Business As: EDWARD LITTLE SCHOOL BASED HEALTH CENTER - PSYCH PROVIDERS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
77 HARRIS ST
AUBURN, ME
ZIP 04210
Phone: (207) 782-6827
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COMMUNITY CLINICAL SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Auburn, ME. COMMUNITY CLINICAL SERVICES, INC. NPI is 1760774392. The provider is registered as an organization entity type.
The provider Is Doing Business As Edward Little School Based Health Center - Psych Providers.

The provider's business location address is:

77 HARRIS ST
AUBURN, ME
ZIP 04210-671
Phone: (207) 782-6827
Fax: (207) 376-0090

The provider's authorized official is Coleen L Elias .
The authorized official title is Ceo/cfo and has the following contact phone number (207) 513-3897.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 10/22/2020.

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)			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: 5/5/2024

NPI Synchronization or Removal

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