PENOBSCOT COMMUNITY HEALTH CENTER NPI 1639419468

NPI Information

PENOBSCOT COMMUNITY HEALTH CENTER is an urgent care clinic center in Bangor, ME. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1639419468. The provider is registered as an organization entity type.
The provider Is Doing Business As Pchc Walk In - Bangor.

The provider's business location address is:

1012 UNION ST
SUITE 3
BANGOR, ME
ZIP 04401-060
Phone: (207) 945-5247
Fax: (207) 990-1248

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 20D1045004 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/14/2013 and was last updated on 2/22/2018.

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:

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