| Healthreach Community Health Centers | |
|
47 Main Street Coopers Mills ME 04341 | |
| (207) 549-7581 | |
| (207) 549-3439 |
| Full Name | Healthreach Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Main Street, Coopers Mills, 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 47 Main Street Po Box 207 Coopers Mills ME 04341 Ph: (207) 549-7581 | Healthreach Community Health Centers 47 Main Street Coopers Mills ME 04341 Ph: (207) 549-7581 |
| NPI Number | 1841263118 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20050107000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841263118 | NPI | - | NPPES |
| 137970106 | 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 | Ann M. Schwink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164493136 PECOS PAC ID: 3173575289 Enrollment ID: I20050217000265 |
| Provider Name | Cynthia R Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316911787 PECOS PAC ID: 7012952278 Enrollment ID: I20050628000443 |
| Provider Name | Kathryn G Wistar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720175599 PECOS PAC ID: 7315944873 Enrollment ID: I20061026000346 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Lynn M Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437300837 PECOS PAC ID: 5294992335 Enrollment ID: I20120201000724 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Nancy R Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890473 PECOS PAC ID: 8325304934 Enrollment ID: I20171115001851 |
| Provider Name | Natalie Ledue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063064491 PECOS PAC ID: 4981935053 Enrollment ID: I20191004000924 |