Penobscot Community Health Center

NPI #1740373679 in Bangor, Maine

Provider Information

NPI Number
1740373679
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
Oct 2, 2006
Last Updated
Aug 6, 2018

Practice Location

Address
86 DAVIS RD
City
Bangor
State
Maine
ZIP Code
04401
Phone
(207) 992-2205

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Penobscot Community Health CenterNewBizBotAI Deep Dive
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