Data Breach Notifications

Entity Information

  • Type of Organization: Healthcare
  • Entity Name: India street clinic
  • Street Address: 103 India street
  • City: Portland
  • State, or Country if outside the US: Maine
  • Zip Code: 04101

Submitted By

  • Name: Deserai Collins
  • Title: Misconduct of government property and intelligence.
  • Firm name (if different than entity): Deserai collins
  • Telephone Number: 2075607545
  • Email Address: Deseraicollins72@gmail.com
  • Relationship to entity whose information was compromised: Std check and screening

Breach Information

  • Total number of persons affected (including residents): 1
  • Total number of Maine residents affected: 1
  • If the number of Maine residents exceeds 1,000, have the consumer reporting agencies been notified: No
  • Date(s) Breach Occured: 01/16/2021 to 03/27/2021
  • Date Breach Discovered: 03/27/2021
  • Description of the Breach:
    • Inadvertent disclosure, External system breach (hacking), Insider wrongdoing
  • Information Acquired - Name or other personal identifier in combination with: Financial Account Number or Credit/Debit Card Number (in combination with security code, access code, password or PIN for the account)

Notification and Protection Services

  • Type of Notification: Electronic
  • Date(s) of consumer notification: 03/27/2021
  • Copy of notice to affected Maine residents:
  • Date of any previous (within 12 months) breach notifications:
  • Were identity theft protection services offered: No
  • If yes, please provide the duration, the provider of the service and a brief description of the service: