Penobscot Community Health Center

NPI #1669802849 in Jackman, Maine

Provider Information

NPI Number
1669802849
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
Nov 25, 2013
Last Updated
Aug 6, 2018

Practice Location

Address
376 MAIN ST
State
Maine
ZIP Code
04945
Phone
(207) 668-4300

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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