| Healthreach Community Health Centers | |
|
237 Main St Bingham ME 04920-0746 | |
| (207) 672-4187 | |
| (207) 672-4189 |
| Full Name | Healthreach Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 237 Main St, Bingham, 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 746 237 Main St Bingham ME 04920-0746 Ph: (207) 672-4187 | Healthreach Community Health Centers 237 Main St Bingham ME 04920-0746 Ph: (207) 672-4187 |
| NPI Number | 1942273727 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20040803000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942273727 | NPI | - | NPPES |
| 137970101 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E58728 (Maine) | Primary |
| 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 | Amy K Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508975152 PECOS PAC ID: 5496813164 Enrollment ID: I20081024000076 |
| Provider Name | Laurie E Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962637389 PECOS PAC ID: 6204988280 Enrollment ID: I20090722000543 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Jason D Caudell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447548698 PECOS PAC ID: 3173792769 Enrollment ID: I20160919000754 |
| Provider Name | Leah T Agren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508291832 PECOS PAC ID: 1153688577 Enrollment ID: I20171120001891 |
| Provider Name | Daniel Duarte |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285258715 PECOS PAC ID: 1658792064 Enrollment ID: I20200610001403 |