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CHC25680-04 PORTLAND COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
PORTLAND COMMUNITY HEALTH CENTER
Subdivision Name
Greater Portland Health at 100 Brickhill Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017491
340B ID
CHC25680-04
Grant Number
H80CS25680
Additional Details
Current Program Status
Active
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/19/2016
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Portland Community Health Center
Ann Tucker, Chief Executive Officer
(207) 874-2141 Ext: 3886
Primary Contact
Portland Community Health Center
Tara Leblanc, Director of HR & Financial Reporting
(207) 874-2141
Addresses
Street Address
100 BRICKHILL AVE
Suite 301
SOUTH PORTLAND, ME 04106-1999
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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