Healthreach Community Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Fairfield, ME
NPI 1285302893 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1285302893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEALTHREACH COMMUNITY HEALTH CENTERS
- Practice address
- 9 School St
Fairfield, ME 04937-1326 - Phone
- (207) 861-9666
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
Authorized official
- Name
- Constance Coggins
- Title
- Ceo
- Phone
- (207) 872-5610
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 7
Practitioners 117
-
Amanda Adamen, PMHNP
-
Leah Agren, LCSW
-
Alyssa Michelle Alley, LCSW
-
Brittany Ann Bennett, NP-C
-
Kelly Bragg, PMHNP
-
Michelle Breen, FNP
-
Madison Willson Chadbourne, LMSW-CC
-
Dean Chamberlain, DO
-
Abigail Cross, DO
-
Johanna Davis, FNP
-
Lauren A Emery, LCPC
-
Teresa Jean Farrington, D.O.
-
Monica Tartisio Gambi Lado, NURSE PRACTITIONER
-
Katie Gillihan, FNP
-
Paul Benjamin Gloe III, M.D.
-
Melissa C Hackett, FNP
-
Linda S Hermans, MD
-
Sarah Hiebert, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Federally qualified health center certification: CCN 201955
- Legal name
- HEALTHREACH COMMUNITY HEALTH CENTERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 3, 2021
- Last certification
- Nov 3, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 1, 1999 in ME
- Enrollment address
- 9 School St
Fairfield, ME 49371326
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle Kelley |
Corporate Director |
Jan 3, 2023 | |
| Karen Sennett |
Corporate Director |
Jan 1, 2026 | |
| Jenny M Boyden |
Corporate Director |
Jan 1, 2024 | |
| Joanne E a Joy |
Corporate Director |
Jan 1, 2026 | |
| Melinda Corey |
Corporate Director |
Jan 1, 2026 | |
| James C Higgins |
Corporate Director |
Jan 3, 2023 | |
| Susan Tedrick |
Corporate Director |
Jan 8, 2025 | |
| John Opperman |
Corporate Director |
Jan 1, 2022 | |
| Buffy Higgins |
Corporate Director |
Mar 26, 2025 | |
| Donna Williams |
Corporate Officer |
Jul 1, 2019 | |
| W-2 Managing Employee |
Jul 1, 2019 | ||
| Paul Forman |
Corporate Director |
Oct 1, 2025 | |
| Constance Coggins |
Corporate Officer |
Oct 27, 2006 | |
| W-2 Managing Employee |
Oct 27, 2006 | ||
| Paula Callan |
Corporate Director |
Mar 26, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830000523 | ME | Part B Supplier - Clinic/Group Practice | 5496726523 |
Receives reassigned benefits from 77 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madison, ME; Strong, ME; Richmond, ME; Rangeley, ME; Livermore Falls, ME; Kingfield, ME; Cooper Mills, ME; Albion, ME… |
| O20211118001949 | ME | Part a Provider - Federally Qualified Health Center (FQHC) | 5496726523 | Practice locations: Fairfield, ME |
National Provider Directory
- Tax ID family
- Madison Area Health Cen
Locations
16 Depot St
Ste 300
Livermore Falls, ME 04254
Phone (207) 897-4345
24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
9 School St
Fairfield, ME 04937-1326
Mailing address
10 Water St Ste 305
Waterville, ME 04901-6566
Phone (207) 861-9666
Other names
- Lawrence High School Health Center
Other providers in Fairfield, ME
- Kelsey Jean Gwazdosky
- Jessica Lee Gyles
- Dana M Haddad
- Kaya Elizabeth Hart
- Lisa Hart
- Heartland Home Care LLC
- Emily Hill
- Kathryn S Hoffmann
- Selma C Holden
- Home Care Solutions
All providers in Fairfield, ME · Federally Qualified Health Center (FQHC) in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.