Penobscot Community Health Center

NPI #1366800138 in Jackman, Maine

Provider Information

NPI Number: 1366800138
Entity Type: Organization
Organization Name: Penobscot Community Health Center
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Feb 8, 2016
Last Updated: Feb 22, 2018

Practice Location

Address: 376 MAIN ST
City: Jackman
State: Maine
ZIP Code: 04945-5214
Phone: (207) 668-7755

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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