Ccs Behavioral At Poland is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Poland, Maine. The current practice location for Ccs Behavioral At Poland is 1230 Maine St, Room A, Poland, Maine. For appointments, you can reach them via phone at
(207) 998-4483. The mailing address for Ccs Behavioral At Poland is Po Box 95000 Lbx 7660, Philadelphia, Pennsylvania and phone number is (207) 777-8208.
Ccs Behavioral At Poland is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1417301623. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(207) 998-4483.
Primary Care Clinic Profile
| Full Name | Ccs Behavioral At Poland |
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| Speciality | Clinic/Center |
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| Location | 1230 Maine St, Poland, Maine |
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| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
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| Authorized Official Contact | 2075133897 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ccs Behavioral At Poland
Po Box 95000 Lbx 7660
Philadelphia
PA 19195-0001
Ph: (207) 777-8208 | Ccs Behavioral At Poland
1230 Maine St
Room A
Poland
ME 04274-7325
Ph: (207) 998-4483 |
NPI Details:
| NPI Number | 1417301623 |
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| Provider Enumeration Date | 04/14/2016 |
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| Last Update Date | 10/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0042101099 |
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| Medicare Enrollment ID | O20160810002390 |
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Medical Identifiers
Medical identifiers for Ccs Behavioral At Poland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417301623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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