| City Of Portland Maine | |
|
166 Brackett St Portland ME 04102-3825 | |
| (207) 874-8786 | |
| (208) 874-8447 |
| Full Name | City Of Portland Maine |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 166 Brackett St, Portland, Maine |
| Authorized Official Name and Position | Jon P Jennings (CITY MANAGER) |
| Authorized Official Contact | 2078748689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Portland Maine 389 Congress St Room 307 Portland ME 04101-3566 Ph: (207) 874-8784 | City Of Portland Maine 166 Brackett St Portland ME 04102-3825 Ph: (207) 874-8786 |
| NPI Number | 1487896080 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487896080 | NPI | - | NPPES |
| 136040603 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 | |
John Stanhope Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 | |
City Of Portland Hhs, Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 | |
Michael L. Shuman, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mellen St, Portland, ME 04101 Phone: 207-774-3835 Fax: 207-774-2176 | |
Maine Medical Center Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3067 | |
Maurice C. Hothem, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-4148 Fax: 207-797-5730 | |
Fore River Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Sewall St, Portland, ME 04102 Phone: 207-772-8823 Fax: 207-772-1856 |