Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Community Clinical Services, Inc

Organization Family Medicine Physician · NPI 1164477568

Community Clinical Services, Inc is a Family Medicine Physician in Lewiston, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 Birch St Ste 102
Lewiston, ME 04240-7415
Phone: (207) 753-5400
Fax: (207) 786-0489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X (ME)

Record details

NPI number1164477568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coleen Elias — Ceo/Cfo · (207) 513-3897
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing addressPo Box 95000 Lbx 7660, Philadelphia, PA 19195-0001

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