Central City Concern, Inc.
Doing business as Old Town Recovery Center
Federally qualified health center in Portland, OR, Medicare certification number 381914.
Medicare certification
Provider of Services- CCN
- 381914
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – partnership
- Participating since
- May 15, 2009
- Last certification
- May 15, 2009
- Address
- 33 NW Broadway
Portland, OR 97209
(503) 288-7134
NPI records for this facility (CCN to NPI Mapping) 2
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1881658276
Medicare enrollment -
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1497044382
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.