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

Portland Community Health Center

Organization Obstetrics & Gynecology Physician · NPI 1528719630

Portland Community Health Center is an Obstetrics & Gynecology Physician in South Portland, Maine. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

637 Highland Ave
South Portland, ME 04106-6425
Phone: (207) 874-2141
Fax: (207) 761-3738
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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
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1528719630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Tucker — Ceo · (207) 874-2141
Other names Greater Portland Health At South Portland High School; Greater Portland Health At South Portland High School
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address180 Park Ave, Portland, ME 04102-2957

Other providers in South Portland