CCS BEHAVIORAL AT SMMA – NPI #1760836977
Clinic/Center

CCS BEHAVIORAL AT SMMA is an AHC clinic located in LEWISTON, ME. NPPES has assigned the NPI number 1760836977 to CCS BEHAVIORAL AT SMMA on April 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCS BEHAVIORAL AT SMMA” is a dba name, the actual legal business name for this organization is COMMUNITY CLINICAL SERVICES, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Oct 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCS BEHAVIORAL AT SMMA below.

NPI Profile for
COMMUNITY CLINICAL SERVICES, INC.

NPI Number
1760836977
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CLINICAL SERVICES, INC.
Doing Business As (dba): CCS BEHAVIORAL AT SMMA
Primary location
99 CAMPUS AVE
SUITE 201, ROOM A
LEWISTON, ME 04240-6045
Phone: (207) 777-8810 Fax: (207) 777-8155
Mailing address
PO BOX 95000 LBX 7660
PHILADELPHIA, PA 19195-0001
Phone: (207) 777-8202 Fax: (207) 783-6660
Organization Subpart
Yes - CCS BEHAVIORAL AT SMMA is subpart of another organization.
Authorized Official
COLEEN ELIAS
CEO/CFO
Phone: (207) 513-3897
Updated
Certification Date
Oct 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.