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15 Mollison Way Room A Lewiston ME 04240-5805 | |
(207) 777-4440 | |
(207) 777-8197 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15 Mollison Way, Lewiston, Maine |
Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
Authorized Official Contact | 2075133897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | 15 Mollison Way Room A Lewiston ME 04240-5805 Ph: (207) 777-4440 |
NPI Number | 1942655345 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 0042101099 |
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Medicare Enrollment ID | O20160811000142 |
Identifier | Type | State | Issuer |
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1942655345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Clinical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 Birch St Ste 102, Lewiston, ME 04240 Phone: 207-753-5400 Fax: 207-786-0489 | |
Central Maine Clinical Associates Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 364 Main Street, Lewiston, ME 04240 Phone: 207-795-5709 Fax: 207-795-7193 | |