Casco Bay High

LBN: Portland Community Health Center
Casco Bay High is an health care organization with primary practice located at 196 Allen Ave , Portland ME 04103-3711. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Portland Community Health Center can be contacted via phone (207) 842-4693, or through Tucker, Ann via phone (207) 874-2141.

Contact Information

Primary practice address
196 Allen Ave Portland ME 04103-3711
Phone: (207) 842-4693
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Ann
Phone: (207) 874-2141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1184178246
LBN Legal business name Portland Community Health Center
DBA Doing business as Casco Bay High
Authorized official Tucker, Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2016
Last updated Jun 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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