| NPI | 1952144842 | 
|---|---|
| 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) | 
| Enumeration Date | 2024-06-17 | 
| Last Update Date | 2024-06-17 |