Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Other names
Greater Portland Health at South Portland High School
Organization subpart
No
Provider details
NPI number
Authorized official
ANN F TUCKER AO (CEO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
637 HIGHLAND AVE, SOUTH PORTLAND, ME 04106-6425
(207) 874-2141
(207) 761-3738
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 761-3738
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
07/03/2023
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