| Lewiston High School Based Health Center | |
|
156 East Ave Lewiston ME 04240-5626 | |
| (207) 795-4144 | |
| (207) 795-4147 |
| Full Name | Lewiston High School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 156 East Ave, 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 |
|---|---|
| Lewiston High School Based Health Center Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Lewiston High School Based Health Center 156 East Ave Lewiston ME 04240-5626 Ph: (207) 795-4144 |
| NPI Number | 1003109695 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 0042101099 |
|---|---|
| Medicare Enrollment ID | O20110718000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003109695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ccs Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Sabattus St, Suite B, Lewiston, ME 04240 Phone: 207-755-3160 Fax: 207-755-3166 | |
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 | |
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 | |
Lewiston Middle School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
Ccs Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave Ste 104, Lewiston, ME 04240 Phone: 207-755-3445 Fax: 207-755-3475 |