NPIMap

Organization Active NPI

Healthreach Community Health Centers

Doing business as Lawrence High School Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfield, ME
National Provider Identifier
1285302893
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHREACH COMMUNITY HEALTH CENTERS
Doing business as
Lawrence High School Health Center
Practice address
9 School St
Fairfield, ME 04937-1326
Phone
(207) 861-9666
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Lawrence High School 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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285302893. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jul 1, 1999 in ME
Enrollment address
9 School St
Fairfield, ME 49371326

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Healthreach Community Health Centers8 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

16 Depot St
Livermore Falls, ME 04254
Phone (207) 897-4345

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 OfficerCeo Oct 27, 2006
W-2 Managing EmployeeCeo Oct 27, 2006
Paula Callan Individual Corporate DirectorBoard Member Mar 26, 2025

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1285302893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATER ST STE 305",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016566",
            "telephone_number": "207-861-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHOOL ST",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371326",
            "telephone_number": "207-861-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHREACH COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-872-5610"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence High School Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, ME

Sources for this page

Verify at the official NPI Registry.