Penobscot Pediatrics

LBN: Penobscot Community Health Center
Penobscot Pediatrics 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 Allopathic & Osteopathic Physicians / Pediatrics, 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) 947-0147, or through Dwyer, Lori L. via phone (207) 992-9200.

Contact Information

Primary practice address
6 Telcom Dr Bangor ME 04401-3072
Phone: (207) 947-0147
Fax: (207) 990-3365
Website:
Map and Directions
Authorized official contact:
Name: Dwyer, Lori L. ESQ.
Phone: (207) 992-9200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 201872 Maine

Profile Details

NPI number 1568555498
LBN Legal business name Penobscot Community Health Center
DBA Doing business as Penobscot Pediatrics
Authorized official Dwyer, Lori L. ESQ.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Nov 7th, 2019 - about 5 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.

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