Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Other names
Portland Community Health Center- Health Care for the Homeless Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN TUCKER (CFO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
63 PREBLE ST, PORTLAND, ME 04101-3014
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
H80CS256800202
ME
Other
Enumeration date
02/06/2014
Last updated
06/09/2023
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