Healthreach Community Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Livermore Falls, ME
NPI 1497728133 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1497728133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- E58728 (ME)
- Legal business name
- HEALTHREACH COMMUNITY HEALTH CENTERS
- Practice address
- 16 Depot St
Suite 300
Livermore Falls, ME 04254 - Phone
- (207) 897-4345
- Fax
- (207) 897-2321
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Constance R Coggins
- Title
- President/Ceo
- Phone
- (207) 872-5610
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 7
Practitioners 113
-
Roy S Miller, MD
-
Joline Sage, NP
-
Michelle Sweetser, FNP
-
Diane Zavotsky, MD
-
Lois Catherine Hamel Corson, ANP, PHD
-
Elizabeth Kerr, FNP
-
Alyson Brooke Poland, LCSW
-
Cory Miller, PA
-
Kelly Leslie, APRN-FNP-C
-
Alyssa Michelle Alley, LCSW
-
Michelle Breen, FNP
-
Dean Chamberlain, DO
-
Diana C Dearden, PA-C
-
Kenneth James Duge, PA-C
-
Melanie Ann Morin, APRN-CNP
-
Craig J. Urwin, PA-C
-
Kelly Ann Cohen, APRN
-
Karan D Harkness, NP
-
Amanda Adamen, PMHNP
-
Leah Agren, LCSW
-
Shirley L. Ala, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Federally qualified health center certification: CCN 201807
- 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
- Corporation · Non-profit
- Incorporated
- Jul 1, 1999 in ME
- Enrollment address
- 16 Depot St
Suite 300
Livermore Falls, ME 42541311
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 |
Aug 2, 2010 | ||
| Paula Callan |
Corporate Director |
Mar 26, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050302000521 | ME | Part B Supplier - Clinic/Group Practice | 5496726523 |
Receives reassigned benefits from 9 practitioners Practice locations: Livermore Falls, ME |
| O20101101001032 | ME | Part a Provider - Federally Qualified Health Center (FQHC) | 5496726523 | Practice locations: Livermore Falls, ME |
National Provider Directory
- Tax ID family
- Madison Area Health Cen
Locations
7 School St
Albion, ME 04910
Phone (207) 437-9388
4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924
16 Depot St
Livermore Falls, ME 04254
Phone (207) 897-4345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | E58728 | ME | Yes |
Addresses
Primary practice location
16 Depot St
Suite 300
Livermore Falls, ME 04254
Mailing address
16 Depot St
Suite 300
Livermore Falls, ME 04254
Phone (207) 897-4345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137970108 | Medicaid | ME |
Other names
- Western Maine Family Health Center
Other providers in Livermore Falls, ME
- Mary Lavina Fredricks
- Gerard M Girardin DDS PA
- Richard Greene
- Jessica Griswold
- Audra Gurney
- Holistic Support Services
- Roger Allen Kay
- Knapp Family Practice, LLC
- Michele Morant Knapp
- Cindy Lou Ledwell
All providers in Livermore Falls, 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 Nov 10, 2014. 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.