Healthcare Provider Details

I. General information

NPI: 1265360010
Provider Name (Legal Business Name): HEALTHREACH COMMUNITY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W HILL RD
GARDINER ME
04345-1933
US

IV. Provider business mailing address

PO BOX 727
WATERVILLE ME
04903-0727
US

V. Phone/Fax

Practice location:
  • Phone: 207-872-5610
  • Fax:
Mailing address:
  • Phone: 207-872-5610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE COGGINS
Title or Position: CEO
Credential:
Phone: 207-872-5610