- Practice location
- 6 Telcom Dr, Bangor, ME 04401-3072
- Phone
- 207-947-0147
- Fax
- 207-990-3365
- Last updated
- November 7, 2019
Penobscot Community Health Center is a healthcare organization based in Bangor, ME. Penobscot Community Health Center practices in Bangor, ME. The NPI Number for Penobscot Community Health Center is 1568555498 and holds a License No. 201872 (ME). The current practice location address for Penobscot Community Health Center is 6 Telcom Dr, Bangor, ME 04401-3072 and can be reached out via phone at 207-947-0147 and via fax at 207-990-3365.
Provider Profile Details
- NPI Number
- 1568555498
- Provider Name
- Penobscot Community Health Center
- Provider Entity Type
- Organization
- Address
- 6 Telcom Dr, Bangor, ME 04401-3072
- Phone Number
- 207-947-0147
- Fax Number
- 207-990-3365
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- Yes
- Parent Organization
- Penobscot Community Health Center
- Authorized Official
- Lori L. Dwyer, ESQ · President & Ceo · 207-992-9200
- Other Names
- Penobscot Pediatrics (Doing Business As)
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- November 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Telcom Dr
Bangor, ME 04401-3072 - City
- Bangor
- State
- Maine
- Zip
- 04401-3072
- Phone Number
- 207-947-0147
- Fax Number
- 207-990-3365
Provider Business Mailing Address Details
- Address
- Po Box 1599
103 Maine Ave
Bangor, ME 04402-1599 - City
- Bangor
- State
- ME
- Zip
- 04402-1599
- Phone Number
- 207-945-5247
- Fax Number
- 207-992-2154
License Information
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 201872
- License State (2)
- ME
- Taxonomy (2)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Federally Qualified Health Center (FQHC) providers near Bangor, ME
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Frequently Asked Questions
What is the NPI number of Penobscot Community Health Center?
The NPI number of Penobscot Community Health Center is 1568555498. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Penobscot Community Health Center?
Penobscot Community Health Center is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in ME under license number 201872.
Where does Penobscot Community Health Center practice?
The practice location is 6 Telcom Dr, Bangor, ME 04401-3072. The office can be reached at 207-947-0147 (phone) or 207-990-3365 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568555498 directly on the NPPES registry website.