Organization
PORTLAND COMMUNITY HEALTH CENTER
Active
Parent organization
PORTLAND COMMUNITY HEALTH CENTER
Other names
Riverton School
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND COMMUNITY HEALTH CENTER
Authorized official
ANN TUCKER (CFO)
(207) 874-2141
Entity
Organization
Contact information
Practice address
1600 FOREST AVE, PORTLAND, ME 04103-1314
(207) 874-8210
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/20/2016
Last updated
06/09/2023
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