NPI 1023475134
Community Clinical Services, INC.
Practice location
- Address
- 330 Sabattus St Suite B, Lewiston, ME 04240-5553
- Phone
- (207) 755-3160
- Fax
- (207) 755-3166
- 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
Registry record
- NPI
- 1023475134
- Entity type
- Organization
- NPI issued
- 20 Jan 2016
- 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.