CITY OF PORTLAND MAINE (NPI# 1689799504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689799504 |
| Entity Type | Organization |
| Organization Name | CITY OF PORTLAND MAINE |
| Practice Address |
20 Portland St Portland ME 04101-2912 |
| Mailing Address |
389 Congress St Room 307 Portland ME 04101-3529 |
| Practice Telephone | 2078748445 |
| Mailing Telephone | 2078748944 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | JON P JENNINGS (CITY MANAGER) |
| Authorized Official Telephone | 2078748689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
H80CS00005-04-00 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 136040602 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487896080 | City of Portland Maine | Clinic/Center | 166 Brackett St, Portland, ME 04102-3825 | 2009-03-27 |
| 1881719763 | City of Portland Maine | Clinic/Center | 103 India St, Portland, ME 04101-4211 | 2007-03-20 |
| 1881908291 | City of Portland Maine | Clinic/Center | 103 India St, Portland, ME 04101-4211 | 2010-07-28 |
| 1861720906 | City of Portland Maine | Allergy & Immunology | 20 Portland St, Portland, ME 04101-2912 | 2009-12-01 |
| 1588990261 | City of Portland Maine | Clinic/Center | 272 Congress St, Portland, ME 04101-3637 | 2009-10-30 |
| 1437485117 | City of Portland Maine | Allergy & Immunology | 103 India St, Portland, ME 04101-4211 | 2009-10-30 |
| Street Address |
20 PORTLAND ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588092670 | Annie M Rice | Physician Assistant | 20 Portland St, Portland, ME 04101-2912 | 2013-10-29 |
| 1154684397 | Edmond A Bureau | Registered Nurse | 20 Portland St, Portland, ME 04101-2912 | 2012-06-22 |
| 1033498795 | Maureen A Keating | Registered Nurse | 20 Portland St, Portland, ME 04101-2912 | 2011-08-12 |
| 1801175781 | Margaret M Lennon | Registered Nurse | 20 Portland St, Portland, ME 04101-2912 | 2011-08-10 |
| 1902105497 | Anna L Gardner | Counselor | 20 Portland St, Portland, ME 04101-2912 | 2011-03-23 |
| 1659674133 | Beth E Eilers | Social Worker | 20 Portland St, Portland, ME 04101-2912 | 2010-12-06 |
| 1558684589 | Susan L Garrett | Registered Nurse | 20 Portland St, Portland, ME 04101-2912 | 2010-03-04 |
| 1861720906 | City of Portland Maine | Allergy & Immunology | 20 Portland St, Portland, ME 04101-2912 | 2009-12-01 |
| 1043453483 | Keith D Danner | Counselor | 20 Portland St, Portland, ME 04101-2912 | 2009-04-15 |
| 1023279221 | Megan Connolly | Registered Nurse | 20 Portland St, Portland, ME 04101-2912 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 | ||||
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| 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.