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Organization

PORTLAND COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN F TUCKER (CEO)
(207) 874-2141
Entity
Organization

Contact information

Practice address
21 POPHAM ST, PORTLAND, ME 04102-1133
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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