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100 Campus Ave Ste 104 Lewiston ME 04240-6049 | |
| (207) 755-3445 | |
| (207) 755-3475 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Campus Ave Ste 104, Lewiston, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | 100 Campus Ave Ste 104 Lewiston ME 04240-6049 Ph: (207) 755-3445 |
| NPI Number | 1568703791 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568703791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 | |