PORTLAND COMMUNITY HEALTH CENTER


Address: 23 Orono Rd, Portland, ME 04102-1106
Phone: 2078742141

PORTLAND COMMUNITY HEALTH CENTER (NPI# 1275074551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275074551
Entity Type Organization
Organization Name PORTLAND COMMUNITY HEALTH CENTER
Other Organization Name HALL SCHOOL
Practice Address 23 Orono Rd
Portland
ME 04102-1106
Mailing Address 180 Park Ave
Portland
ME 04102-2957
Practice Telephone 2078742141
Mailing Telephone 2078742141
Enumeration Date 2017-03-20
Last Update Date 2017-03-20
Authorized Official Name MS. ANN TUCKER (CFO)
Authorized Official Telephone 2078742141
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Hall School Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679047872 Portland Community Health Center Clinic/Center 52 Frederic St, Portland, ME 04102-2700 2019-01-22
1043783822 Portland Community Health Center Clinic/Center 72 Bishop St, Portland, ME 04102-2957 2019-01-04
1770056558 Portland Community Health Center Clinic/Center 190 Valley Street, Portland, ME 04102-2957 2019-01-04
1700317971 Portland Community Health Center Clinic/Center 28 Portland St, Portland, ME 04101-2912 2017-03-21
1255872537 Portland Community Health Center Clinic/Center 175 Auburn St, Portland, ME 04103-2131 2017-03-20
1881135192 Portland Community Health Center Clinic/Center 353 Cumberland Avenue, Cliff Island, ME 04109-0008 2017-03-20
1053719583 Portland Community Health Center Clinic/Center 211 Cumberland Ave, Portland, ME 04101-4935 2014-12-16
1447694344 Portland Community Health Center Clinic/Center 59 Riverton Dr, Portland, ME 04103-1050 2013-04-22
1073144622 Portland Community Health Center Clinic/Center 125 Stroudwater St, Westbrook, ME 04092-4098 2020-02-03
1184165466 Portland Community Health Center Clinic/Center 432 Stevens Ave, Portland, ME 04103-2607 2017-03-20

Office Location

Street Address 23 ORONO RD
City PORTLAND
State ME
Zip Code 04102-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205143880 Sarah Szanton Speech-Language Pathologist 23 Orono Rd, Portland, ME 04102-1106 2010-09-03
1437435765 Amy Leonard Counselor 23 Orono Rd, Portland, ME 04102-1106 2011-11-01
1427357128 Karen M. Hunter Social Worker 23 Orono Rd, Portland, ME 04102-1106 2011-03-21
1871803296 Virginia Milioto Speech-Language Pathologist 23 Orono Rd, Portland, ME 04102-1106 2010-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679047872 Portland Community Health Center Clinic/Center 52 Frederic St, Portland, ME 04102-2700 2019-01-22
1043783822 Portland Community Health Center Clinic/Center 72 Bishop St, Portland, ME 04102-2957 2019-01-04
1770056558 Portland Community Health Center Clinic/Center 190 Valley Street, Portland, ME 04102-2957 2019-01-04
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1700317971 Portland Community Health Center Clinic/Center 28 Portland St, Portland, ME 04101-2912 2017-03-21
1255872537 Portland Community Health Center Clinic/Center 175 Auburn St, Portland, ME 04103-2131 2017-03-20
1477005619 Outside In Clinic/Center 1226 Sw 12th Ave, Portland, OR 97205-2029 2016-11-03
1649636986 Mainline Health Systems, Inc Clinic/Center 314 Highway 160 E, Portland, AR 71663-9262 2015-12-31
1144691098 Central City Concern Inc Clinic/Center 2566 Ne Hoyt St, Portland, OR 97232-2323 2015-10-16
1295119386 Central City Concern Inc Clinic/Center 12133 E. Burnside St, Portland, OR 97216-2344 2015-07-17
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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