Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Parent organization
PORTLAND COMMUNITY HEALTH CENTER
Other names
Greater Portland Health-Huston Commons
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND COMMUNITY HEALTH CENTER
Authorized official
ANN TUCKER (CEO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
72 BISHOP ST, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVENUE, PORTLAND, ME 04102
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
06/09/2023
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