PENOBSCOT COMMUNITY HEALTH CENTER NPI 1760973960

NPI Information

PENOBSCOT COMMUNITY HEALTH CENTER is an infusion therapy clinic center in Bangor, ME. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1760973960. The provider is registered as an organization entity type.
The provider Is Doing Business As Pchc Infusion Center.

The provider's business location address is:

1012 UNION ST STE 3
BANGOR, ME
ZIP 04401-058
Phone: (207) 404-8100
Fax: (207) 947-0435

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 20D0718517 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.

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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