| Healthreach Community Health Centers | |
|
24 Gardiner St Richmond ME 04357-1336 | |
| (207) 737-4359 | |
| (207) 737-4412 |
| Full Name | Healthreach Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Gardiner St, Richmond, Maine |
| Authorized Official Name and Position | Kate A Quimby (INSURANCE CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2078642699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthreach Community Health Centers 24 Gardiner St Richmond ME 04357-1336 Ph: (207) 737-4359 | Healthreach Community Health Centers 24 Gardiner St Richmond ME 04357-1336 Ph: (207) 737-4359 |
| NPI Number | 1164496410 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 02/20/2018 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20050201000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164496410 | NPI | - | NPPES |
| 137970105 | Medicaid | ME | |
| CA2004 | Other | ME | RAILROAD MEDICARE GROUP |
| 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 | Linda S Hermans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043282619 PECOS PAC ID: 0244275436 Enrollment ID: I20050628000701 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Melissa C Hackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902170392 PECOS PAC ID: 4880857747 Enrollment ID: I20120514000341 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Elizabeth Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619352267 PECOS PAC ID: 9739495110 Enrollment ID: I20150831001638 |
| Provider Name | Nancy R Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890473 PECOS PAC ID: 8325304934 Enrollment ID: I20171115001851 |
| Provider Name | Agnieszka Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922394824 PECOS PAC ID: 9739592361 Enrollment ID: I20201228002308 |
Smile4me Dental Hygiene Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Main St, Richmond, ME 04357 Phone: 207-999-9999 |