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PENOBSCOT COMMUNITY HEALTH CENTER NPI 1427338854


NPI Information

NPI: 1427338854
Provider Name: PENOBSCOT COMMUNITY HEALTH CENTER

Doing Business As: SPECIALTY CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
992 UNION ST
BANGOR, ME
ZIP 04401
Phone: (207) 945-5247
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PENOBSCOT COMMUNITY HEALTH CENTER is a specialist in Bangor, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1427338854. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Clinic.

The provider's business location address is:

992 UNION ST
BANGOR, ME
ZIP 04401
Phone: (207) 945-5247
Fax: (207) 945-3311

The provider's authorized official is Lori L. Dwyer .
The authorized official title is President & Ceo and has the following contact phone number (207) 992-9200.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory20D1045004MAINENo
2174400000XSpecialistYes

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: 4/28/2024

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