Portland Community Health Center is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Portland, Maine. Their current practice location is
295 Park Ave, Portland, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 874-2141.
Portland Community Health Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Portland Community Health Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982338240.
Healthcare Provider's Profile
| Full Name | Portland Community Health Center |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 295 Park Ave, Portland, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982338240
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395998017
- Enrollment ID: O20220930001197
Medical Identifiers
Medical identifiers for Portland Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982338240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Portland Community Health Center is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Portland Community Health Center
180 Park Ave,
Portland, ME 04102-2957
Ph: (207) 874-2141 | Portland Community Health Center
295 Park Ave,
Portland, ME 04102-2911
Ph: (207) 874-2141 |
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