COMMUNITY CLINICAL SERVICES, INC (NPI# 1295386316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386316 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINICAL SERVICES, INC |
| Other Organization Name | CCS BEHAVIORAL AT CMCC |
| Practice Address |
1250 Turner St Auburn ME 04210-6436 |
| Mailing Address |
Po Box 95000 Lbx #7660 Philadelphia PA 19195-0001 |
| Practice Telephone | 2077553434 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | COLEEN L ELIAS (CEO/CFO) |
| Authorized Official Telephone | 2075133897 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CLINICAL SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CCS Behavioral at CMCC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568703791 | Community Clinical Services, Inc | Clinic/Center | 100 Campus Ave Ste 201, Lewiston, ME 04240-6049 | 2013-03-13 |
| 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 |
1250 TURNER ST |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| 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 |
|---|---|---|---|---|
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1477909810 | Community Clinical Services, Inc. | Clinic/Center | 15 Sacred Heart Pl, Room A, Auburn, ME 04210-4938 | 2016-05-04 |
| 1336627546 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603 | 2018-07-31 |
| 1558862912 | Wellspace Health | Clinic/Center | 3133 Professional Dr, Auburn, CA 95603-2463 | 2018-02-21 |
| 1346695756 | Community Clinical Services, Inc. | Clinic/Center | 3 Willow Run, Room A, Auburn, ME 04210-8501 | 2016-05-04 |
| 1821442039 | Community Clinical Services, Inc. | Clinic/Center | 2 Great Falls Plz, Suite 21, Room A, Auburn, ME 04210-5966 | 2016-04-14 |
| 1487080958 | Community Clinical Services, Inc. | Clinic/Center | 60 Second St, Auburn, ME 04210-6853 | 2013-09-17 |
| 1972845691 | Healthpoint | Clinic/Center | 2704 I St Ne, Auburn, WA 98002-2411 | 2013-03-20 |
| 1538451166 | Community Clinical Services, Inc. | Clinic/Center | 38 Falcon Dr, Auburn, ME 04210-4384 | 2011-05-16 |
| 1447542071 | Community Clinical Services, Inc. | Clinic/Center | 38 Falcon Dr, Auburn, ME 04210-4384 | 2011-05-16 |
| Find all providers in AUBURN | ||||
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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.