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

Portland Community Health Center

Organization Obstetrics & Gynecology Physician · NPI 1700258779

Portland Community Health Center is an Obstetrics & Gynecology Physician in South Portland, Maine. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

100 Brickhill Ave
South Portland, ME 04106-1999
Phone: (207) 874-2141
Show map & directions

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 number1700258779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Tucker — Cfo · (207) 874-2141
Other names South Portland Community Health Center At Brick Hill; South Portland Community Health Center At Brick Hill
NPI enumeratedOctober 29, 2015
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address180 Park Ave, Portland, ME 04102-2957

Other providers in South Portland