Organization · Type 2 NPI

Community Clinical Services, Inc.

Federally Qualified Health Center (FQHC) · Poland, ME

NPI number 1417301623 Active

Practice location

1230 Maine St, Room A
Poland, ME 04274-7325

Call (207) 998-4483 Map

Fax (207) 998-2189

Mailing address

PO Box 95000 Lbx 7660
Philadelphia, PA 19195-0001

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

8 other providers at this address

NPI record

NPI: 1417301623
Entity type: Organization (Type 2)
Issued: Apr 14, 2016
Last updated: Oct 22, 2020
Status: Active
Subpart: Yes of Community Clinical Services, Inc.

Other names

<unavail>
CCS Behavioral at Poland · doing business as
CCS Behavioral at Poland · doing business as

Authorized official

Coleen L Elias
CEO/cfo
(207) 513-3897

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About NPI 1417301623

Community Clinical Services, Inc.'s National Provider Identifier is 1417301623, issued on Apr 14, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Poland, ME. The record was last updated on Oct 22, 2020.