Penobscot Community Health Center
LBN: Penobscot Community Health Center
Penobscot Community Health Center is an health care organization with primary practice located at 242 Brunswick St , Old Town ME 04468-1613. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Penobscot Community Health Center can be contacted via phone (207) 992-4100, or through Dwyer, Lori L. via phone (207) 992-9200.
Contact Information
Primary practice address
242 Brunswick St
Old Town ME 04468-1613
Phone: (207) 992-4100
Fax: (207) 827-8391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001432 | Maine |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1316136302 |
|---|---|
| LBN Legal business name | Penobscot Community Health Center |
| DBA Doing business as | |
| Authorized official | Dwyer, Lori L. ESQ. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Jan 19th, 2018 - about 6 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 | 1316136302 | NPPES |
| Maine | MEDICAID | 131160301 | |
| Maine | Other | 2037653 |
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