Warren Center
LBN: Penobscot Community Health Center
Warren Center is an health care organization with primary practice located at 6 Telcom Dr , Bangor ME 04401-3072. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Hearing and Speech. Ambulatory Health Care Facilities / Hearing and Speech is the primary health care specialty.
Penobscot Community Health Center can be contacted via phone (207) 941-2850, or through Dwyer, Lori L. via phone (207) 992-9200.
Contact Information
Primary practice address
6 Telcom Dr
Bangor ME 04401-3072
Phone: (207) 941-2850
Fax: (207) 941-2852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Maine | |
Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X |
Profile Details
NPI number | 1285685628 |
---|---|
LBN Legal business name | Penobscot Community Health Center |
DBA Doing business as | Warren Center |
Authorized official | Dwyer, Lori L. ESQ. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 12th, 2006 |
Last updated | Jan 27th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285685628 | NPPES |
Maine | MEDICAID | 103380000 |
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