PORTLAND COMMUNITY HEALTH CENTER


Address: 100 Brickhill Ave, South Portland, ME 04106-1999
Phone: 2078742141

PORTLAND COMMUNITY HEALTH CENTER (NPI# 1700258779) 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) 1700258779
Entity Type Organization
Organization Name PORTLAND COMMUNITY HEALTH CENTER
Other Organization Name SOUTH PORTLAND COMMUNITY HEALTH CENTER AT BRICK HILL
Practice Address 100 Brickhill Ave
South Portland
ME 04106-1999
Mailing Address 180 Park Ave
Portland
ME 04102-2957
Practice Telephone 2078742141
Mailing Telephone 2078742141
Enumeration Date 2015-10-29
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
South Portland Community Health Center at Brick Hill 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 100 BRICKHILL AVE
City SOUTH PORTLAND
State ME
Zip Code 04106-1999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609877828 Wayne D Westland Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2005-08-10
1689217903 Natalia Valentinovna Tonseth Nurse Practitioner 100 Brickhill Ave, South Portland, ME 04106-1999 2019-10-18
1427691765 Sarah Melissa Carter Registered Nurse 100 Brickhill Ave, South Portland, ME 04106-1999 2019-10-18
1801318654 Abdul Rahman Qani Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2017-07-13
1366989824 Moira Burke Dietitian, Registered 100 Brickhill Ave, South Portland, ME 04106-1999 2017-01-23
1639622756 Courtney Myles Nurse Practitioner 100 Brickhill Ave, South Portland, ME 04106-1999 2016-07-25
1255703955 Christopher Nilsson Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2015-10-21
1790156792 Deirdre Sulka-meister Fnp LLC Point of Service 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 2015-10-15
1417350901 Melissa N Libby Fnp LLC Point of Service 100 Brickhill Ave, Suite 304, South Portland, ME 04106-1999 2014-09-29
1578806832 Sanchita Bose Urology 100 Brickhill Ave, South Portland, ME 04106 2013-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
Find all providers in zip 04106

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 state

NPI Name Taxonomy Address Enumeration
1023621273 Sebasticook Family Doctors Clinic/Center 291 Williams Road, Newport, ME 04953 2020-08-27
1295386316 Community Clinical Services, Inc Clinic/Center 1250 Turner St, Auburn, ME 04210-6436 2019-09-20
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
1760973960 Penobscot Community Health Center Clinic/Center 1012 Union St Ste 3, Bangor, ME 04401-3058 2018-05-23
1700317971 Portland Community Health Center Clinic/Center 28 Portland St, Portland, ME 04101-2912 2017-03-21
1184165367 Katahdin Valley Health Center Clinic/Center 65 South St, Houlton, ME 04730-1550 2017-03-20
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
Find all providers with the same taxonomy

Competitor

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City SOUTH PORTLAND
Zip Code 04106

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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