Organization
COMMUNITY CLINICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN L ELIAS (CEO/CFO)
(207) 513-3897
Entity
Organization
Contact information
Practice address
57 BIRCH ST STE 102, LEWISTON, ME 04240-7415
(207) 753-5400
(207) 786-0489
Mailing address
PO BOX 95000 LBX 7660, PHILADELPHIA, PA 19195-0001
(207) 777-8202
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
ME
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
10/22/2020
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