GREATER PORTLAND HEALTH
NPI 1073144622
Clinic/Center - Federally Qualified Health Center (FQHC) in Westbrook, ME

Active since February 03, 2020CLIA 20D2314215 · Waiver
125 STROUDWATER ST, WESTBROOK, ME 04092(207) 854-0810 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2023, Feb 3, 2020 (2 updates tracked since 2020).

About Greater Portland Health NPPES

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

GREATER PORTLAND HEALTH (NPI 1073144622) is a healthcare organization registered as a federally qualified health center (fqhc) in Westbrook, Maine and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Ann F Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073144622
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORTLAND COMMUNITY HEALTH CENTER
Location Address125 STROUDWATER STWestbrook, ME 04092-4098
Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141
Organization SubpartNo
Authorized OfficialAnn F TuckerCeo · (207) 874-2141
Enumeration DateFebruary 3, 2020
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1073144622 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
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
125 STROUDWATER ST, Westbrook, ME 04092

Other Names 1

Doing Business AsGreater Portland Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Portland Health 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 Greater Portland Health, which bills Medicare for the services they deliver. Of these, 51 practice 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
Pediatric Medicine
NPI 1275891970
1 HARNOIS AVE
Westbrook, ME 04092
(207) 662-1360
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1982905550
123 ANDOVER RD
Westbrook, ME 04092
(207) 761-2200
✔ PECOS1.5 mi
Family Practice
NPI 1073877791
575 MAIN ST
Gorham, ME 04038
(207) 839-2559
✔ PECOS2.7 mi
Family Practice
NPI 1710943782
575 MAIN ST
Gorham, ME 04038
(207) 839-2559
✔ PECOS✔ Accepts Medicare2.7 mi
Dentist
NPI 1215591664
1 COLLEGE ST
Portland, ME 04103
(207) 221-4747
✔ PECOS3.1 mi
Clinical Social Worker
NPI 1336868538
68 BISHOP ST STE 2
Portland, ME 04103
(917) 588-7349
✔ PECOS3.1 mi
Nurse Practitioner
NPI 1336578301
100 BRICKHILL AVE STE 304
S Portland, ME 04106
(207) 761-4700
✔ PECOS3.4 mi
Clinical Social Worker
NPI 1649980525
100 BRICKHILL AVE STE 301
South Portland, ME 04106
(207) 841-2141
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1629615554
100 BRICKHILL AVE
South Portland, ME 04106
(207) 874-2141
✔ PECOS✔ Accepts Medicare3.4 mi
Dentist
NPI 1669367926
17 ARLINGTON ST
Portland, ME 04101
(970) 393-0627
✔ PECOS3.6 mi
Family Practice
NPI 1013667997
295 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare3.9 mi
Optometry
NPI 1043985914
295 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1356035547
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS4.2 mi
Pediatric Medicine
NPI 1013953991
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS4.2 mi
Pediatric Medicine
NPI 1427285063
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS4.2 mi
Internal Medicine
NPI 1548608862
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1033641048
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts Medicare4.2 mi
Mental Health Counselor
NPI 1710654256
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts Medicare4.7 mi
Dentist
NPI 1699346627
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS4.7 mi
Internal Medicine
NPI 1205814050
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts Medicare4.7 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 20D2314215

Greater Portland Health - Mobile Medical Van · Portland, ME
Active · expires Nov 14, 2026
CLIA Number20D2314215
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorRenee M. Fay-Leblanc
Laboratory Phone(207) 874-2141
Laboratory LocationGreater Portland Health - Mobile Medical Van295 Park Ave, Portland, ME 04102
CLIA data matches this NPI record on: 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 1073144622. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider is doing business as Greater Portland Health.

Where is Portland Community Health Center located?

Portland Community Health Center is located at 125 Stroudwater St, Westbrook, ME 04092. The listed phone number is (207) 854-0810.

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, 51 practice 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 20D2314215) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portland Community Health Center was last updated on July 3, 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.