NPIMap

Organization Active NPI

Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Kingfield, ME
National Provider Identifier
1023082385
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
E58728 Issued in ME
Legal business name
HEALTHREACH COMMUNITY HEALTH CENTERS
Practice address
25 Depot St
Kingfield, ME 04947-4208
Phone
(207) 265-4555
Fax
(207) 265-5004
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Constance R Coggins
Title
President/Ceo
Phone
(207) 872-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X E58728 ME Primary

Addresses

Primary practice location

25 Depot St
Kingfield, ME 04947-4208

Mailing address

25 Depot St
Kingfield, ME 04947-4208
Phone (207) 265-4555

Other identifiers 1

IdentifierTypeStateIssuer
137970102MedicaidME

Other names 1

  • Mt Abram Regional Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050830000534 ME Part B Supplier - Clinic/Group Practice 5496726523 Receives reassigned benefits from 7 practitioners
Practice locations: Kingfield, ME
O20101101000771 ME Part A Provider - Federally Qualified Health Center (FQHC) 5496726523 Practice locations: Kingfield, ME

Federally qualified health center certification: CCN 201810

Legal name
HEALTHREACH COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1999 in ME
Enrollment address
25 Depot St
Kingfield, ME 49474208

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Madison Area Health Cen8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Depot St
Kingfield, ME 04947
Phone (207) 237-2658

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Kelley Individual Corporate DirectorBoard Member Jan 3, 2023
Karen Sennett Individual Corporate DirectorBoard Member Jan 1, 2026
Jenny M Boyden Individual Corporate DirectorBoard Member Jan 1, 2024
Joanne E a Joy Individual Corporate DirectorBoard Member Jan 1, 2026
Melinda Corey Individual Corporate DirectorBoard Member Jan 1, 2026
James C Higgins Individual Corporate DirectorBoard Member Jan 3, 2023
Susan Tedrick Individual Corporate DirectorBoard Member Jan 8, 2025
John Opperman Individual Corporate DirectorBoard Member Jan 1, 2022
Buffy Higgins Individual Corporate DirectorBoard Member Mar 26, 2025
Donna Williams Individual Corporate OfficerFinance Director Jul 1, 2019
W-2 Managing EmployeeFinance Director Jul 1, 2019
Paul Forman Individual Corporate DirectorBoard Member Oct 1, 2025
Constance Coggins Individual Corporate OfficerPresident / Ceo Oct 27, 2006
W-2 Managing EmployeePresident Ceo Oct 27, 2006
Paula Callan Individual Corporate DirectorBoard Member Mar 26, 2025

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 90

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1023082385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DEPOT ST",
            "city": "KINGFIELD",
            "state": "ME",
            "postal_code": "049474208",
            "telephone_number": "207-265-4555",
            "fax_number": "207-265-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DEPOT ST",
            "city": "KINGFIELD",
            "state": "ME",
            "postal_code": "049474208",
            "telephone_number": "207-265-4555",
            "fax_number": "207-265-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHREACH COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "207-872-5610"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "ME",
            "license": "E58728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137970102",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Abram Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingfield, ME

Sources for this page

Verify at the official NPI Registry.