| Healthreach Community Health Centers | |
|
32 Railroad St Bethel ME 04217-1367 | |
| (207) 824-2193 | |
| (207) 824-3138 |
| Full Name | Healthreach Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 32 Railroad St, Bethel, Maine |
| Authorized Official Name and Position | Constance R Coggins (PRESIDENT/CEO) |
| Authorized Official Contact | 2078725610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthreach Community Health Centers Po Box 1367 32 Railroad St Bethel ME 04217-1367 Ph: (207) 824-2193 | Healthreach Community Health Centers 32 Railroad St Bethel ME 04217-1367 Ph: (207) 824-2193 |
| NPI Number | 1568435345 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20050301000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568435345 | NPI | - | NPPES |
| 137970100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E58728 (Maine) | Primary |
| Provider Name | Leslie G Lufkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598974156 PECOS PAC ID: 5991617110 Enrollment ID: I20031105000126 |
| Provider Name | Lois C Hamel Corson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730135039 PECOS PAC ID: 4880650613 Enrollment ID: I20041203000464 |
| Provider Name | Cynthia R Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316911787 PECOS PAC ID: 7012952278 Enrollment ID: I20050628000443 |
| Provider Name | Richard Decarolis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306801444 PECOS PAC ID: 5597701052 Enrollment ID: I20050706000697 |
| Provider Name | Thomas Kevin Finley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073578118 PECOS PAC ID: 3779514567 Enrollment ID: I20050822000722 |
| Provider Name | Katharyn D Sloma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114240470 PECOS PAC ID: 1759410681 Enrollment ID: I20100602000340 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Joanne Nicastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316180763 PECOS PAC ID: 6305022054 Enrollment ID: I20110516000228 |
| Provider Name | Alyson B Poland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497057145 PECOS PAC ID: 9638311962 Enrollment ID: I20130815000284 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Denise M Thorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518484898 PECOS PAC ID: 5294086484 Enrollment ID: I20180927001380 |
| Provider Name | Carly Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234633 PECOS PAC ID: 1850623109 Enrollment ID: I20191106000404 |