SOUTH PORTLAND COMMUNITY HEALTH CENTER AT BRICK HILL
NPI 1700258779
Clinic/Center - Federally Qualified Health Center (FQHC) in South Portland, ME

Active since October 29, 2015
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106(207) 874-2141 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2023, Mar 20, 2017, Nov 16, 2015 (3 updates tracked since 2015).

About South Portland Community Health Center At Brick Hill NPPES

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

SOUTH PORTLAND COMMUNITY HEALTH CENTER AT BRICK HILL (NPI 1700258779) is a healthcare organization registered as a federally qualified health center (fqhc) in South Portland, Maine and active in the NPI registry since October 2015. The organization lists Ann Tucker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700258779
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORTLAND COMMUNITY HEALTH CENTER
Location Address100 BRICKHILL AVESouth Portland, ME 04106-1999
Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141
Organization SubpartNo
Authorized OfficialAnn TuckerCfo · (207) 874-2141
Enumeration DateOctober 29, 2015
Last NPPES UpdateJune 9, 20233 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1700258779 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
100 BRICKHILL AVE, South Portland, ME 04106

Other Names 1

Doing Business AsSouth Portland Community Health Center At Brick Hill

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

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)

South Portland Community Health Center At Brick Hill 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 South Portland Community Health Center At Brick Hill, which bills Medicare for the services they deliver. Of these, 3 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
Nurse Practitioner
NPI 1336578301
100 BRICKHILL AVE STE 304
S Portland, ME 04106
(207) 761-4700
✔ PECOSSame address
Clinical Social Worker
NPI 1649980525
100 BRICKHILL AVE STE 301
South Portland, ME 04106
(207) 841-2141
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629615554
100 BRICKHILL AVE
South Portland, ME 04106
(207) 874-2141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013667997
295 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1043985914
295 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1033641048
22 BRAMHALL ST
Portland, ME 04102
(207) 662-0111
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1548696057
22 BRAMHALL ST
Portland, ME 04102
(076) 622-2357
✔ PECOS1.9 mi
Clinical Social Worker
NPI 1982905550
123 ANDOVER RD
Westbrook, ME 04092
(207) 761-2200
✔ PECOS2.1 mi
Clinical Social Worker
NPI 1972779593
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1891710844
180 PARK AVE PORTLAND COMMUNITY HEALTH CENTER
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1356035547
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS2.1 mi
Family Practice
NPI 1073596672
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1790994036
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1043878648
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.1 mi
Pediatric Medicine
NPI 1013953991
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS2.1 mi
Pediatric Medicine
NPI 1427285063
180 PARK AVE
Portland, ME 04102
(207) 874-2141
✔ PECOS2.1 mi
Internal Medicine
NPI 1548608862
180 PARK AVE STE 1
Portland, ME 04102
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.1 mi
Dentist
NPI 1669367926
17 ARLINGTON ST
Portland, ME 04101
(970) 393-0627
✔ PECOS2.6 mi
Mental Health Counselor
NPI 1710654256
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS✔ Accepts Medicare2.8 mi
Dentist
NPI 1699346627
63 PREBLE ST
Portland, ME 04101
(207) 874-2141
✔ PECOS2.8 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.

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 1700258779. It was assigned to this organization in the NPPES registry on October 29, 2015. The provider is doing business as South Portland Community Health Center At Brick Hill.

Where is Portland Community Health Center located?

Portland Community Health Center is located at 100 Brickhill Ave, South Portland, ME 04106. 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, 3 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Community Health Center accept?

Health plans from Anthem Blue Cross and Blue Shield 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.