OrganizationActive
Portland Community Health Center
NPI 1184178246 · Federally Qualified Health Center (FQHC) · Portland, ME
Provider details
- NPI number
- 1184178246
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Portland Community Health Center
- Organization subpart
- Yes
- Authorized official
- Ann Tucker, Cfo(207) 874-2141
Specialties & taxonomies
Ambulatory Health Care Facilities
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Practice location
196 Allen Ave
Portland, ME 04103-3711
Phone: (207) 842-4693
Approximate (ZIP-level) locationGet directions
Mailing address
180 Park Ave
Portland, ME 04102-2957
Other names (DBA / former)
- Doing business as
- Casco Bay High
- Doing business as
- Casco Bay High
Registry dates
- Enumerated
- 2016-08-06
- Last updated
- 2023-06-09
- Certified
- 2023-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.