HEALTHREACH COMMUNITY HEALTH CENTERS (NPI# 1497729750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497729750 |
Entity Type | Organization |
Organization Name | HEALTHREACH COMMUNITY HEALTH CENTERS |
Other Organization Name | RANGELEY FAMILY MEDICINE |
Practice Address |
42 Dallas Hill Rd Rangeley ME 04970 |
Mailing Address |
Po Box 569 42 Dallas Hill Road Rangeley ME 04970 |
Practice Telephone | 2078643303 |
Practice Fax Number | 2078642969 |
Mailing Telephone | 2078643947 |
Mailing Fax Number | 2078642969 |
Enumeration Date | 2006-02-14 |
Last Update Date | 2008-07-07 |
Authorized Official Name | CONSTANCE R COGGINS (PRESIDENT/CEO) |
Authorized Official Telephone | 2078613407 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
E58728 | ME | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 137970110 | 05 |
Other Name | Type Code |
---|---|
Rangeley Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082385 | Healthreach Community Health Centers | Clinic/Center | 25 Depot St, Kingfield, ME 04947-4208 | 2006-02-14 |
1417921776 | Healthreach Community Health Centers | Clinic/Center | 177 N Main St, Strong, ME 04983 | 2006-02-14 |
1497728133 | Healthreach Community Health Centers | Clinic/Center | 16 Depot St, Suite 300, Livermore Falls, ME 04254 | 2006-02-13 |
1316910193 | Healthreach Community Health Centers | Clinic/Center | 10 Water St, Ste 305, Waterville, ME 04901-6559 | 2006-02-10 |
1922071745 | Healthreach Community Health Centers | Clinic/Center | 7 School St, Ste 1, Albion, ME 04910 | 2006-02-10 |
1568435345 | Healthreach Community Health Centers | Clinic/Center | 32 Railroad St, Bethel, ME 04217-1367 | 2006-02-10 |
1841263118 | Healthreach Community Health Centers | Clinic/Center | 47 Main Street, Coopers Mills, ME 04341 | 2006-02-08 |
1164496410 | Healthreach Community Health Centers | Clinic/Center | 24 Gardiner St, Richmond, ME 04357-1336 | 2006-02-14 |
1184698441 | Healthreach Community Health Centers | Clinic/Center | 8 S Main St, Madison, ME 04950-4501 | 2006-02-14 |
1942273727 | Healthreach Community Health Centers | Clinic/Center | 237 Main St, Bingham, ME 04920-0746 | 2006-02-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HEALTHREACH COMMUNITY HEALTH CENTERS | 10 Water St Ste 305, Waterville, ME 04901-6566 |
Street Address |
42 DALLAS HILL RD |
City | RANGELEY |
State | ME |
Zip Code | 04970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306839865 | Paula Lynn Pengilly | Nurse Practitioner | 42 Dallas Hill Rd, Rangeley, ME 04970-4032 | 2005-08-30 |
1124570833 | Angela Kristoff | Social Worker | 42 Dallas Hill Rd, Rangeley, ME 04970-0569 | 2016-10-28 |
1992112676 | Gina D Temple | Counselor | 42 Dallas Hill Rd, Rangeley, ME 04970-4032 | 2014-07-15 |
1316274632 | Crystal J Yokley | Nurse Practitioner | 42 Dallas Hill Rd, Rangeley, ME 04970-4032 | 2009-11-06 |
1043461866 | Barbara A Lajoie | Dental Hygienist | 42 Dallas Hill Rd, Rangeley, ME 04970-0569 | 2008-10-10 |
1437281243 | Jane Louise Gordon | Nurse Practitioner | 42 Dallas Hill Rd, Rangeley, ME 04970-4032 | 2007-03-09 |
1669486502 | Dorothy Elizabeth Mosher | Nurse Practitioner | 42 Dallas Hill Rd, Rangeley, ME 04970-0569 | 2006-07-28 |
1598794786 | Burton Knapp | Family Medicine | 42 Dallas Hill Rd, Rangeley, ME 04970-0569 | 2006-07-01 |
1730143405 | Robert J Jacobs | Family Medicine | 42 Dallas Hill Rd, Rangeley, ME 04970 | 2006-04-12 |
1578523163 | Robert William Underwood | Family Medicine | 42 Dallas Hill Rd, Rangeley, ME 04970-0569 | 2006-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306254065 | Kim Gooding Occupational Therapy Pllc | Occupational Therapist | 25 Dallas Hill Road, Rangeley, ME 04970 | 2014-07-25 |
1932377967 | Kim Gooding | Occupational Therapist | 25 Dallas Hill Rd, Rangeley, ME 04970 | 2008-02-12 |
1356556286 | Rangeley Lakes Regional School | Local Education Agency (LEA) | 43 Mendolia Road, Rangeley, ME 04970 | 2007-05-14 |
1316960461 | David S Mcmillan | Dentist | 2252 Main Street, Rangeley, ME 04970 | 2006-07-26 |
1033722103 | Paul Joseph Mangiafico | Physical Therapist | 25 Dallas Hill Road, Rangeley, ME 04970 | 2020-08-28 |
1740711159 | Robin Ladd | Physical Therapist | 25 Dallas Hill Rd, Rangeley, ME 04970 | 2017-03-27 |
1144766536 | Roberta Hartigan | Physical Therapy Assistant | 25 Dallas Hill Road, Rangeley, ME 04970 | 2017-01-10 |
1790912392 | Julie Quint | Physical Therapist | 25 Dallas Hill Rd, Rangeley, ME 04970 | 2009-06-22 |
1568606325 | June M Aleck | Durable Medical Equipment & Medical Supplies | 10 Main Street, Rangeley, ME 04970 | 2009-04-23 |
1356356976 | Riddles Pharmacy Inc | Pharmacy | 2487 Main Street, Rangeley, ME 04970-0010 | 2006-07-30 |
Find all providers in zip 04970 |
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 |
---|---|---|---|---|
1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
Find all providers with the same taxonomy |
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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.