| Casco Bay High | |
|
196 Allen Ave Portland ME 04103-3711 | |
| (207) 842-4693 | |
| Not Available |
| Full Name | Casco Bay High |
|---|---|
| Speciality | Clinic/Center |
| Location | 196 Allen Ave, Portland, Maine |
| Authorized Official Name and Position | Ann Tucker (CFO) |
| Authorized Official Contact | 2078742141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay High 180 Park Ave Portland ME 04102-2957 Ph: (207) 874-2141 | Casco Bay High 196 Allen Ave Portland ME 04103-3711 Ph: (207) 842-4693 |
| NPI Number | 1184178246 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 5395998017 |
|---|---|
| Medicare Enrollment ID | O20200520000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184178246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 207V00000X | Obstetrics & Gynecology | (NU) | Secondary |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 |
Portland Community Health Center- Health Care for the Homeless Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 63 Preble St, Portland, ME 04101 Phone: 207-874-2141 Fax: 207-874-2164 |
John Stanhope DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 |
Greater Portland Health-huston Commons Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Bishop St, Portland, ME 04102 Phone: 207-874-2141 Fax: 207-874-2164 |
Portland Community Health Center of Franklin Towers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Cumberland Ave, Portland, ME 04101 Phone: 207-874-2141 Fax: 207-874-2164 |
City of Portland Hhs, PhD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 |