| Community Clinical Services, Inc | |
|
103 Park St Lewiston ME 04240-7203 | |
| (207) 753-5400 | |
| (207) 786-0489 |
| Full Name | Community Clinical Services, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 103 Park St, Lewiston, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinical Services, Inc 57 Birch St Ste 201 Lewiston ME 04240-7415 Ph: (207) 513-3897 | Community Clinical Services, Inc 103 Park St Lewiston ME 04240-7203 Ph: (207) 753-5400 |
| NPI Number | 1629851761 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629851761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Lewiston Middle School Based Health Center - Psych Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
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