| NPI | 1407695059 |
|---|---|
| Doing Business As | GREATER PORTLAND HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANN F TUCKER CEO 207-874-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-06-03 |