NPI | 1982338240 |
---|---|
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 | 152W00000X Optometrist |
207V00000X Obstetrics & Gynecology | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2022-07-13 |
Last Update Date | 2024-07-26 |