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).
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 |
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 Name | Type Code |
---|---|
South Portland Community Health Center at Brick Hill | Doing Business As Name - Organization |
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 |
Street Address |
100 BRICKHILL AVE |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-1999 |
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 |
Find all providers in the same location |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
City | SOUTH PORTLAND |
Zip Code | 04106 |
Please comment or provide details below to improve the information on PORTLAND COMMUNITY HEALTH CENTER.
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.