NPIMap

Organization Active NPI

City of Portland Maine

  • State or Local Public Health Clinic/Center
  • Portland, ME
National Provider Identifier
1487896080
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF PORTLAND MAINE
Practice address
166 Brackett St
Portland, ME 04102-3825
Phone
(207) 874-8786
Fax
(208) 874-8447
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Jon P Jennings
Title
City Manager
Phone
(207) 874-8689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

166 Brackett St
Portland, ME 04102-3825

Mailing address

389 Congress St
Room 307
Portland, ME 04101-3566
Phone (207) 874-8784

Other identifiers 1

IdentifierTypeStateIssuer
136040603MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
City of Portland Maine HHS PHD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1487896080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CONGRESS ST",
            "address_2": "ROOM 307",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013566",
            "telephone_number": "207-874-8784",
            "fax_number": "207-874-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BRACKETT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023825",
            "telephone_number": "207-874-8786",
            "fax_number": "208-874-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "207-874-8689"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136040603",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.