| Organization Name: | HEALTHREACH COMMUNITY HEALTH CENTERS |
| NPI Number: | 1023082385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONSTANCE R COGGINS (PRESIDENT/CEO) |
| Mailing Address: | 25 Depot St Kingfield |
| State: | ME US |
| Postal Code: | 049474208 |
| Phone Number: | 2072654555 |
| Fax Number: | 2072655004 |
| NPI Enumeration Date: | 02/14/2006 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | E58728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |