COMMUNITY CLINICAL SERVICES INC. NPI 1003109695

NPI Information

  • NPI: 1003109695
  • Provider Name: COMMUNITY CLINICAL SERVICES, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: LEWISTON HIGH SCHOOL BASED HEALTH CENTER
  • Address: 156 EAST AVE
    LEWISTON, ME
    ZIP 04240
  • Phone: (207) 795-4144

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NPI Details

COMMUNITY CLINICAL SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Lewiston, ME. COMMUNITY CLINICAL SERVICES, INC. NPI is 1003109695. The provider is registered as an organization entity type.
The provider Is Doing Business As Lewiston High School Based Health Center.

The provider's business location address is:

156 EAST AVE
LEWISTON, ME
ZIP 04240-626
Phone: (207) 795-4144
Fax: (207) 795-4147

The provider's authorized official is Coleen L Elias .
The authorized official title is Ceo/cfo and has the following contact phone number (207) 513-3897.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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