Organization · Type 2 NPI

Portland Community Health Center

Federally Qualified Health Center (FQHC) · Portland, ME

NPI number 1417498700 Active

Practice location

69 Presumpscot St
Portland, ME 04103-5201

Call (207) 874-2141 Map

Mailing address

180 Park Ave
Portland, ME 04102-2957

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1417498700

Portland Community Health Center's National Provider Identifier is 1417498700, issued on Mar 20, 2017. 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.