NPIMap

Organization Active NPI

Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Waterville, ME
National Provider Identifier
1316910193
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
10 Water St
Ste 305
Waterville, ME 04901-6559
Phone
(207) 872-5610
Fax
(207) 660-9901
NPI assigned
Feb 10, 2006
Last updated
Nov 10, 2014By the provider in NPPES
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

10 Water St
Ste 305
Waterville, ME 04901-6559

Mailing address

10 Water St
Ste 305
Waterville, ME 04901-6559
Phone (207) 872-5610

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2235479Healthreach Community Health Centers10 Water Street Suite 305, Waterville, ME 04901Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Madison Area HLTH Cente8 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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1316910193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "STE 305",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-872-5610",
            "fax_number": "207-660-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "STE 305",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-872-5610",
            "fax_number": "207-660-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHREACH COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.