PENOBSCOT COMMUNITY HEALTH CENTER NPI 1568555498

NPI Information

NPI: 1568555498
Provider Name: PENOBSCOT COMMUNITY HEALTH CENTER

Doing Business As: PENOBSCOT PEDIATRICS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6 TELCOM DR
BANGOR, ME
ZIP 04401
Phone: (207) 947-0147
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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 1568555498. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Penobscot Pediatrics.

The provider's business location address is:

6 TELCOM DR
BANGOR, ME
ZIP 04401-072
Phone: (207) 947-0147
Fax: (207) 990-3365

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 10/2/2006 and was last updated on 11/7/2019.

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	208000000X	Pediatrics				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	201872	MAINE	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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