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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