Organization
COMMUNITY CLINICAL SERVICES, INC
Active
Organization
COMMUNITY CLINICAL SERVICES, INC
Active
Parent organization
COMMUNITY CLINIC SERVICE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CLINIC SERVICE INC.
Authorized official
COLEEN L ELIAS (CEO)
(207) 513-3897
Entity
Organization
Contact information
Practice address
103 PARK ST, LEWISTON, ME 04240-7203
(207) 753-5400
(207) 786-0489
Mailing address
57 BIRCH ST STE 201, LEWISTON, ME 04240-7415
(207) 513-3897
(207) 330-9515
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
04/05/2024
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