York County Community Action Corp
Organization Active NPI Federally Qualified Health Center (FQHC) · Alfred, ME
NPI 1972803989 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1972803989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- YORK COUNTY COMMUNITY ACTION CORP
- Practice address
- 147 Shaker Hill Rd
Alfred, ME 04002-3253 - Phone
- (207) 490-6900
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Diane Laurendeau
- Title
- Cfo
- Phone
- (207) 324-2908
Other NPIs on the same Medicare enrollment 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090225000610 | ME | Part B Supplier - Clinic/Group Practice | 5496701153 |
Receives reassigned benefits from 24 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Biddeford, ME; Springvale, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
147 Shaker Hill Rd
Alfred, ME 04002-3253
Mailing address
6 Spruce St
P.O. Box 72
Sanford, ME 04073-2917
Phone (207) 324-5762
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000216073 | Medicaid | ME |
Other names
- YORK COUNTY COMMUNITY HEALTH CARE SHELTER SITE
Other providers in Alfred, ME
- Tamara Brennan Sharp
- Denise Marie St Pierre
- Town of Alfred
- Wayne Rufus
- William S Winslow
- York County Shelter Programs Inc
- York County Shelter Programs, Inc
- York County Shelter Programs, Inc
- York County Shelter Programs, Inc
- York County Shelter Programs, Inc
All providers in Alfred, 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 Sep 23, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.