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FQHCLA119N Community Clinical Services, Inc. (Active)
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Main Details
Name
Community Clinical Services, Inc.
Subdivision Name
Lewiston Middle School-Based Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009907
340B ID
FQHCLA119N
Grant Number
LALCS00085
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/10/2004
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Community Clinical Services
Coleen Lynn Elias, CEO/CFO
(207) 513-3897
Primary Contact
Community Clinical Services
Llayna Charest, Executive Coordinator
(207) 440-5918
Addresses
Street Address
75 Central Avenue
Lewiston, ME 04240-6031
Billing Address
Community Clinical Services, Inc.
172 Kinsley Street, Attn: Accounts Payable
Nashua, NH 03060
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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