COMMUNITY CLINICAL SERVICES, INC. (NPI# 1164477568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164477568 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINICAL SERVICES, INC. |
| Practice Address |
57 Birch St Ste 102 Lewiston ME 04240-7415 |
| Mailing Address |
Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 |
| Practice Telephone | 2077535400 |
| Practice Fax Number | 2077860489 |
| Mailing Telephone | 2077778202 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | COLEEN L ELIAS (CEO/CFO) |
| Authorized Official Telephone | 2075133897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ME | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477909810 | Community Clinical Services, Inc. | Clinic/Center | 15 Sacred Heart Pl, Room A, Auburn, ME 04210-4938 | 2016-05-04 |
| 1720371313 | Community Clinical Services, Inc. | Clinic/Center | 96 Campus Ave, Suite 218, Lewiston, ME 04240-6019 | 2011-05-16 |
| 1710279344 | Community Clinical Services, Inc. | Clinic/Center | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2011-05-16 |
| 1336590207 | Community Clinical Services, Inc. | Clinic/Center | 198 Main St, Room A, Lewiston, ME 04240-7074 | 2016-06-22 |
| 1942655345 | Community Clinical Services, Inc. | Clinic/Center | 15 Mollison Way, Room A, Lewiston, ME 04240-5805 | 2016-05-04 |
| 1346695756 | Community Clinical Services, Inc. | Clinic/Center | 3 Willow Run, Room A, Auburn, ME 04210-8501 | 2016-05-04 |
| 1417301623 | Community Clinical Services, Inc. | Clinic/Center | 1230 Maine St, Room A, Poland, ME 04274-7325 | 2016-04-14 |
| 1760836977 | Community Clinical Services, Inc. | Clinic/Center | 99 Campus Ave, Suite 201, Room A, Lewiston, ME 04240-6045 | 2016-04-14 |
| 1821442039 | Community Clinical Services, Inc. | Clinic/Center | 2 Great Falls Plz, Suite 21, Room A, Auburn, ME 04210-5966 | 2016-04-14 |
| 1740649227 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY CLINICAL SERVICES, INC. | B St Community Ctr 57 Birch St Ste 201, Lewiston, ME 04240 |
| Street Address |
57 BIRCH ST STE 102 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548650 | Volha A Grant | Nurse Practitioner | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2020-02-03 |
| 1831637271 | Sarah M Jones | Nurse Practitioner | 57 Birch St Ste 102, Lewiston, ME 04240 | 2017-02-06 |
| 1972949741 | Megan A Brewer | Family Medicine | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2013-05-20 |
| 1184702821 | Community Clinical Services, Inc. | Psychiatry & Neurology | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| 1437401148 | Community Health Association of Spokane | Clinic/Center | 1203 Idaho Street, Lewiston, ID 83501-1940 | 2012-10-04 |
| 1841541877 | Bertie County Rural Health Association | Clinic/Center | 307 S. Main Street, Lewiston, NC 27849-9694 | 2012-10-01 |
| 1720371313 | Community Clinical Services, Inc. | Clinic/Center | 96 Campus Ave, Suite 218, Lewiston, ME 04240-6019 | 2011-05-16 |
| 1710279344 | Community Clinical Services, Inc. | Clinic/Center | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2011-05-16 |
| 1336590207 | Community Clinical Services, Inc. | Clinic/Center | 198 Main St, Room A, Lewiston, ME 04240-7074 | 2016-06-22 |
| 1942655345 | Community Clinical Services, Inc. | Clinic/Center | 15 Mollison Way, Room A, Lewiston, ME 04240-5805 | 2016-05-04 |
| 1760836977 | Community Clinical Services, Inc. | Clinic/Center | 99 Campus Ave, Suite 201, Room A, Lewiston, ME 04240-6045 | 2016-04-14 |
| 1740649227 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-02-12 |
| 1023475134 | Community Clinical Services, Inc. | Clinic/Center | 330 Sabattus St, Suite B, Lewiston, ME 04240-5553 | 2016-01-20 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.