PENOBSCOT VALLEY HOSPITAL NPI 1093716086

NPI Information

NPI: 1093716086
Provider Name: PENOBSCOT VALLEY HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 20D1106732

Address:
7 TRANSALPINE RD
LINCOLN, ME
ZIP 04457
Phone: (207) 794-3321
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PENOBSCOT VALLEY HOSPITAL is a critical access general acute care hospital in Lincoln, ME. PENOBSCOT VALLEY HOSPITAL NPI is 1093716086. The provider is registered as an organization entity type.

The provider's business location address is:

7 TRANSALPINE RD
LINCOLN, ME
ZIP 04457-222
Phone: (207) 794-3321
Fax: (207) 794-2120

The provider's authorized official is Crystal A Landry .
The authorized official title is Ceo and has the following contact phone number (207) 794-3321.

The CLIA number assigned to this NPI record is 20D1106732 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	37453	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	135270000	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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