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GREATER PORTLAND HEALTH LOGAN PLACE
NPI 1679047872
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, ME

Active since January 22, 2019
52 FREDERIC ST, PORTLAND, ME 04102(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: August 02, 2026.

Record update history: Jun 9, 2023, Jan 22, 2019 (2 updates tracked since 2019).

About Greater Portland Health Logan Place NPPES

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

GREATER PORTLAND HEALTH LOGAN PLACE (NPI 1679047872) is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Maine and active in the NPI registry since January 2019. The organization lists Ann F Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679047872
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORTLAND COMMUNITY HEALTH CENTER
Location Address52 FREDERIC STPortland, ME 04102-2700
Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141 · Fax (207) 874-2164
Phone(207) 874-2141
Fax(207) 874-2164
Organization SubpartNo
Authorized OfficialAnn F TuckerCeo · (207) 874-2141
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1679047872 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
52 FREDERIC ST, Portland, ME 04102
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Other Names 1

Doing Business AsGreater Portland Health Logan Place

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

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 1679047872. It was assigned to this organization in the NPPES registry on January 22, 2019. The provider is doing business as Greater Portland Health Logan Place.

Where is Portland Community Health Center located?

Portland Community Health Center is located at 52 Frederic St, Portland, ME 04102. 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.

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.