| Healthreach Community Health Centers | |
| 177 N Main St Strong ME 04983 | |
| (207) 684-4010 | |
| (207) 684-3368 | 
| Full Name | Healthreach Community Health Centers | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 177 N Main St, Strong, 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 177 N Main St Strong ME 04983 Ph: (207) 684-4010 | Healthreach Community Health Centers 177 N Main St Strong ME 04983 Ph: (207) 684-4010 | 
| NPI Number | 1417921776 | 
|---|---|
| Provider Enumeration Date | 02/14/2006 | 
| Last Update Date | 11/10/2014 | 
| Medicare PECOS PAC ID | 5496726523 | 
|---|---|
| Medicare Enrollment ID | O20060118000311 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417921776 | NPI | - | NPPES | 
| 137970107 | 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 | 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 | Kelly Bell Bragg | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386121978 PECOS PAC ID: 6608126602 Enrollment ID: I20180913000200 | 
| Provider Name | Nichole A Yeaton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467018861 PECOS PAC ID: 1951644533 Enrollment ID: I20190522002802 |