NPI 1003109695

Community Clinical Services, INC.

Organisation Federally Qualified Health Center (FQHC) Lewiston, ME

Practice location

Address: 156 East Ave, Lewiston, ME 04240-5626
Phone: (207) 795-4144
Fax: (207) 795-4147
Mailing address: PO Box 95000 Lbx 7660, Philadelphia, PA 19195-0001

Authorised official

Name: Coleen L Elias
Title: Ceo/Cfo
Phone: (207) 513-3897

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Maine →

Registry record

NPI: 1003109695
Entity type: Organization
NPI issued: 16 May 2011
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.