Organization · Type 2 NPI

Portland Community Health Center

Federally Qualified Health Center (FQHC) · Portland, ME

NPI number 1407695059 Active

Practice location

295 Park Ave
Portland, ME 04102-2911

Fax (207) 761-3738

Mailing address

180 Park Ave
Portland, ME 04102-2957

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

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

3 other providers at this address

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About NPI 1407695059

Portland Community Health Center's National Provider Identifier is 1407695059, issued on May 22, 2024. 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 Sep 3, 2024.