PORTLAND COMMUNITY HEALTH CENTER- HEALTH CARE FOR THE HOMELESS PROGRAM
NPI 1013331495
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, ME

Active since February 06, 2014CLIA 20D2001492 · Waiver
63 PREBLE ST, PORTLAND, ME 04101(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2023, Mar 20, 2017 (2 updates tracked since 2017).

About Portland Community Health Center- Health Care For The Homeless Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND COMMUNITY HEALTH CENTER- HEALTH CARE FOR THE HOMELESS PROGRAM (NPI 1013331495) is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Maine and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Ann Tucker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013331495
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORTLAND COMMUNITY HEALTH CENTER
Location Address63 PREBLE STPortland, ME 04101-3014
Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141 · Fax (207) 874-2164
Fax(207) 874-2164
Organization SubpartNo
Authorized OfficialAnn TuckerCfo · (207) 874-2141
Enumeration DateFebruary 6, 2014
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1013331495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in ME · H80CS256800202
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
63 PREBLE ST, Portland, ME 04101

Other Names 1

Doing Business AsPortland Community Health Center- Health Care For The Homeless Program

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Community Health Center- Health Care For The Homeless Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Portland Community Health Center- Health Care For The Homeless Program, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner25
Family Practice11
Clinical Social Worker10
Internal Medicine6
Dentist5
Pediatric Medicine4
Mental Health Counselor1
Optometry1
2 other specialties2

Nearest to this location (20)

See all 65
Mental Health Counselor
NPI 1710654256
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1699346627
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOSSame address
Nurse Practitioner
NPI 1134917990
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOSSame address
Family Practice
NPI 1104982602
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1679315170
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOSSame address
Internal Medicine
NPI 1205814050
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669658381
62 ELM ST
Portland, ME 04101
(207) 773-7811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982837019
443 CONGRESS ST FL 2
Portland, ME 04101
(207) 797-8881
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1720749906
84 MARGINAL WAY STE 800
Portland, ME 04101
(207) 774-5816
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1154977635
225 COMMERCIAL ST STE 300
Portland, ME 04101
(207) 631-2383
✔ PECOS0.5 mi
Clinical Social Worker
NPI 1376550624
25 MIDDLE ST 3RD FLOOR
Portland, ME 04101
(207) 773-3599
✔ PECOS0.6 mi
Family Practice
NPI 1073596672
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1831749761
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1780037242
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1013953991
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS0.7 mi
Pediatric Medicine
NPI 1427285063
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS0.7 mi
Internal Medicine
NPI 1548608862
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1477997146
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1033641048
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts Medicare0.8 mi
Optometry
NPI 1043985914
295 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare0.9 mi
See all 65 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2001492

Greater Portland Health Dba Portland Community Health Center · Portland, ME
Active · expires Sep 21, 2027
CLIA Number20D2001492
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorRenee M. Fay-Leblanc
Laboratory Phone(207) 874-2141
Laboratory LocationGreater Portland Health Dba Portland Community Health Center180 Park Ave, Portland, ME 04102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Community Health Center's NPI number?

The NPI number for Portland Community Health Center is 1013331495. It was assigned to this organization in the NPPES registry on February 6, 2014. The provider is doing business as Portland Community Health Center- Health Care For The Homeless Program.

Where is Portland Community Health Center located?

Portland Community Health Center is located at 63 Preble St, Portland, ME 04101. The listed phone number is (207) 874-2141.

What is Portland Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Portland Community Health Center enrolled in Medicare?

Yes. Portland Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 10 Medicare specialties reassign their Medicare billing to Portland Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Family Practice (11) and Clinical Social Worker (10). Of these, 7 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Portland Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2001492) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Portland Community Health Center accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Portland Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Community Health Center was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.