City of Portland Maine

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

CITY OF PORTLAND MAINE

Practice address

103 India St
Portland, ME 04101-4211

Phone

(207) 874-8446

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1881719763",
    "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": "041013529",
            "telephone_number": "207-874-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014211",
            "telephone_number": "207-874-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-01-05",
        "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": "136040600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Portland HHS, PHD
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine
• City of Portland Maine HHS, PHD
• City of Portland Maine, HHS PHD
• Caitlin Civiello, M.D.
• Julie Claffey, LSW

• State or Local Public Health Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• State or Local Public Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.