Active NPI
Portland Community Health Center
- Federally Qualified Health Center (FQHC)
- Scarborough, ME
National Provider Identifier
1659278778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PORTLAND COMMUNITY HEALTH CENTER
- Practice address
- 22 Mussey Rd
Scarborough, ME 04074-9553 - Phone
- (207) 730-5200
- Fax
- (207) 730-5229
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Tucker
- Title
- Ceo
- Phone
- (207) 874-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
22 Mussey Rd
Scarborough, ME 04074-9553
Mailing address
180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1659278778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARK AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022957",
"telephone_number": "207-874-2141",
"fax_number": "207-874-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MUSSEY RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749553",
"telephone_number": "207-730-5200",
"fax_number": "207-730-5229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-874-2141"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.