Penobscot Community Health Center

NPI #1174845697 in Bangor, Maine

Provider Information

NPI Number
1174845697
Entity Type
Organization
Organization Name
Penobscot Community Health Center
Subpart
Yes (part of a larger organization)
Parent Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 25, 2010
Last Updated
Aug 6, 2018

Practice Location

Address
181 CORPORATE DRIVE
City
Bangor
State
Maine
ZIP Code
04401
Phone
(207) 992-2636

Authorized Official

Name
LORI L. DWYER, ESQ.
Title
PRESIDENT & CEO
Phone
(207) 992-9200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Penobscot Community Health Center

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Penobscot Community Health Center

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