Pchc Walk In - Pediatric

LBN: Penobscot Community Health Center
Pchc Walk In - Pediatric is an health care organization with primary practice located at 6 Telcom Dr , Bangor ME 04401-3072. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care 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
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1801235023
LBN Legal business name Penobscot Community Health Center
DBA Doing business as Pchc Walk In - Pediatric
Authorized official Dwyer, Lori L. ESQ.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Nov 7th, 2019 - 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.

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