| Community Clinical Services, Inc. | |
|
57 Birch St Ste 102 Lewiston ME 04240-7415 | |
| (207) 753-5400 | |
| (207) 786-0489 |
| Full Name | Community Clinical Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 57 Birch St Ste 102, Lewiston, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinical Services, Inc. Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Community Clinical Services, Inc. 57 Birch St Ste 102 Lewiston ME 04240-7415 Ph: (207) 753-5400 |
| NPI Number | 1184702821 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184702821 | NPI | - | NPPES |
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