Sagamore Village

LBN: Portland Community Health Center
Sagamore Village is an health care organization with primary practice located at 68 Popham St , Portland ME 04102-1151. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Portland Community Health Center can be contacted via phone (207) 874-2141, or through Tucker, Ann F via phone (207) 874-2141.

Contact Information

Primary practice address
68 Popham St Portland ME 04102-1151
Phone: (207) 874-2141
Fax: (207) 874-2164
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Ann F
Phone: (207) 874-2141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1871169193
LBN Legal business name Portland Community Health Center
DBA Doing business as Sagamore Village
Authorized official Tucker, Ann F
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2021
Last updated Jul 3rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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