Penobscot Community Health Care
LBN: Penobscot Community Health Center
Penobscot Community Health Care is an health care organization with primary practice located at 1012 Union St , Bangor ME 04401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Penobscot Community Health Center can be contacted via phone (207) 945-5247, or through Dwyer, Lori L. via phone (207) 404-8200.
Contact Information
Primary practice address
1012 Union St
Bangor ME 04401
Phone: (207) 945-5247
Fax: (207) 907-7079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1427169010 |
|---|---|
| LBN Legal business name | Penobscot Community Health Center |
| DBA Doing business as | Penobscot Community Health Care |
| Authorized official | Dwyer, Lori L. ESQ. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 6th, 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 | 1427169010 | NPPES |
| Maine | MEDICAID | 131160100 | |
| Maine | MEDICAID | 131160200 |
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