PORTLAND COMMUNITY HEALTH CENTER NPI 1760930739

NPI Information

NPI: 1760930739
Provider Name: PORTLAND COMMUNITY HEALTH CENTER

Doing Business As: REICHE ELEMENTRY SCHOOL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
166 BRACKETT ST
PORTLAND, ME
ZIP 04102
Phone: (207) 874-2141
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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 1760930739. The provider is registered as an organization entity type.
The provider Is Doing Business As Reiche Elementry School.

The provider's business location address is:

166 BRACKETT ST
PORTLAND, ME
ZIP 04102-825
Phone: (207) 874-2141

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 9/19/2016 and was last updated on 9/19/2016.

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: 4/28/2024

NPI Synchronization or Removal

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