Organization
HEALTHREACH COMMUNITY HEALTH CENTERS
Active
Other names
Bethel Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE R COGGINS (PRESIDENT/CEO)
(207) 872-5610
Entity
Organization
Contact information
Practice address
32 RAILROAD ST, BETHEL, ME 04217-1367
(207) 824-2193
(207) 824-3138
Mailing address
PO BOX 1367, 32 RAILROAD ST, BETHEL, ME 04217-1367
(207) 824-2193
(207) 824-3138
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
E58728
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137970100
—
ME
Enumeration date
02/10/2006
Last updated
11/10/2014
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