Bridge Clinic

LBN: Penobscot Community Health Center
Bridge Clinic is an health care organization with primary practice located at 992 Union St Ste 3 , Bangor ME 04401-3057. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Penobscot Community Health Center can be contacted via phone (207) 404-8330, or through Dwyer, Lorelle via phone (207) 992-9200.

Contact Information

Primary practice address
992 Union St Ste 3 Bangor ME 04401-3057
Phone: (207) 404-8330
Fax: (207) 947-0435
Website:
Map and Directions
Authorized official contact:
Name: Dwyer, Lorelle
Phone: (207) 992-9200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1588868814
LBN Legal business name Penobscot Community Health Center
DBA Doing business as Bridge Clinic
Authorized official Dwyer, Lorelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2007
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588868814 NPPES
Maine MEDICAID 131160200

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