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Contact Information

CITY OF PORTLAND
39 FOREST AVE
PORTLAND, ME04101-2912
 Phone: 207-874-8446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for CITY OF PORTLAND

NPI # 1689799504
LBN Legal business name CITY OF PORTLAND
Authorized official ALFERDO VERGARA - (DIRECTOR, PUBLIC HEALTH DIVISION)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2007
Last updated 07/11/2024 - More than a year ago
Identifiers
ME License # H80CS00005-04-00
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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