Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Other names
Reiche Elementry School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE CLARK (CEO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
166 BRACKETT ST, PORTLAND, ME 04102-3825
(207) 874-2141
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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