Organization · Type 2 NPI

Portland Community Health Center

Federally Qualified Health Center (FQHC) · Portland, ME

NPI number 1053719583 Active

Practice location

211 Cumberland Ave
Portland, ME 04101-4935

Fax (207) 874-2164

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician	207V00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Anthony S. Martin, PAPhysician Assistant Portland, ME NPI 1427338698

Other federally qualified health center (fqhc) providers in Portland

See all in Portland →

NPI record

NPI: 1053719583
Entity type: Organization (Type 2)
Issued: Dec 16, 2014
Last updated: Jun 9, 2023
Status: Active

Other names

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Portland Community Health Center of Franklin Towers · other name
Portland Community Health Center of Franklin Towers · other name

Authorized official

Ms. Ann Tucker
CFO
(207) 874-2141

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053719583

Portland Community Health Center's National Provider Identifier is 1053719583, issued on Dec 16, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portland, ME. The record was last updated on Jun 9, 2023.