Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Other names
Riverton Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN TUCKER (CFO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
59 RIVERTON DR, PORTLAND, ME 04103-1050
(207) 874-2141
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
06/09/2023
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