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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: August 02, 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
Phone(207) 854-0810
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
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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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE LYNN VAJDA MA CCC/SLP
Speech-Language Pathologist
125 STROUDWATER ST
WESTBROOK, ME 04092
Cumberland County (207) 854-0810
MOLLY K THOMPSON LMSW/CC
Social Worker (Clinical)
125 STROUDWATER ST
WESTBROOK, ME 04092
Cumberland County (603) 682-6659

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.

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.