| NPI | 1013331495 |
|---|---|
| Doing Business As | PORTLAND COMMUNITY HEALTH CENTER- HEALTH CARE FOR THE HOMELESS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ANN TUCKER CFO 207-874-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: ME H80CS256800202) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-06-09 |