PENOBSCOT COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Jackman, ME. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1669802849. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackman Community Health Center.
The provider's business location address is:
376 MAIN ST
JACKMAN, ME
ZIP 04945
Phone: (207) 668-4300
Fax: (207) 668-7605
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 CLIA number assigned to this NPI record is 20D0709006 - federally qualified health center with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 11/25/2013 and was last updated on 8/6/2018.