Organization · Type 2 NPI

Portland Community Health Center

Federally Qualified Health Center (FQHC) · South Portland, ME

NPI number 1689352494 Active

Practice location

120 Wescott Rd
South Portland, ME 04106-3420

Fax (207) 874-2164

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 1689352494

Portland Community Health Center's National Provider Identifier is 1689352494, issued on Jul 11, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in South Portland, ME. The record was last updated on Jul 11, 2023.