Active NPIOrganization

Community Clinical Services, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Lewiston, Maine

NPI Number1164477568
Practice location
57 Birch St Ste 102, Lewiston, ME 04240-7415
Fax
207-786-0489
Last updated
October 22, 2020

Community Clinical Services, INC. is a healthcare organization based in Lewiston, ME. Community Clinical Services, INC. practices in Lewiston, ME. The NPI Number for Community Clinical Services, INC. is 1164477568. The current practice location address for Community Clinical Services, INC. is 57 Birch St Ste 102, Lewiston, ME 04240-7415 and can be reached out via phone at 207-753-5400 and via fax at 207-786-0489.

Provider Profile Details

NPI Number
1164477568
Provider Name
Community Clinical Services, INC.
Provider Entity Type
Organization
Address
57 Birch St Ste 102, Lewiston, ME 04240-7415
Phone Number
207-753-5400
Fax Number
207-786-0489
Organization Subpart
No
Authorized Official
Coleen L Elias · Ceo/Cfo · 207-513-3897
Provider Enumeration Date
May 23, 2006
Last Update Date
October 22, 2020
Certification Date
October 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Birch St Ste 102
Lewiston, ME 04240-7415
State
Maine
Zip
04240-7415
Phone Number
207-753-5400
Fax Number
207-786-0489
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
Po Box 95000 Lbx 7660
Philadelphia, PA 19195-0001
City
Philadelphia
State
PA
Zip
19195-0001
Phone Number
207-777-8202
Fax Number
207-783-6660

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
Internal Medicine · 207R00000X
Taxonomy (4)
Internal Medicine, Geriatric Medicine · 207RG0300X
Taxonomy (5)
Obstetrics & Gynecology · 207V00000X
License State (6)
ME
Taxonomy (7)
Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Community Clinical Services, INC.?

The NPI number of Community Clinical Services, INC. is 1164477568. It was assigned on May 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Community Clinical Services, INC.?

Community Clinical Services, INC. is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X).

Where does Community Clinical Services, INC. practice?

The practice location is 57 Birch St Ste 102, Lewiston, ME 04240-7415. The office can be reached at 207-753-5400 (phone) or 207-786-0489 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164477568 directly on the NPPES registry website.

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