PENOBSCOT COMMUNITY HEALTH CENTER NPI 1083259410

NPI Information

NPI: 1083259410
Provider Name: PENOBSCOT COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1068 UNION ST
BANGOR, ME
ZIP 04401
Phone: (207) 404-8200
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PENOBSCOT COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Bangor, ME. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1083259410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1068 UNION ST
BANGOR, ME
ZIP 04401-016
Phone: (207) 404-8200

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

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

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	207QA0505X	Family Medicine	Adult Medicine			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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