King Middle School

LBN: Portland Community Health Center
King Middle School is an health care organization with primary practice located at 92 Deering Ave , Portland ME 04102-2901. 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) 756-8499, or through Clark, Leslie via phone (207) 874-2141.

Contact Information

Primary practice address
92 Deering Ave Portland ME 04102-2901
Phone: (207) 756-8499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Leslie
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 1659826550
LBN Legal business name Portland Community Health Center
DBA Doing business as King Middle School
Authorized official Clark, Leslie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 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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