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Penobscot Community Health Center
Federally Qualified Health Center (FQHC) in Old Town, Maine
NPI 1629161559

Penobscot Community Health Center is a Federally Qualified Health Center (FQHC) based in Bangor, ME and is specialized in Federally Qualified Health Center (FQHC). Penobscot Community Health Center practices in Old Town, ME. The NPI Number for Penobscot Community Health Center is 1629161559 and holds a License No. (Maine).

The current practice location address for Penobscot Community Health Center is 242 Brunswick St, Old Town, ME and can be reached out via phone at 207-827-6128 and via fax at 207-827-5533.

Location: 242 Brunswick St, Old Town, ME, 04402-1599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629161559
Provider Name
Penobscot Community Health Center
Credential
Provider Entity Type
Organization
Address
242 Brunswick St, Old Town, ME, 04402-1599
Phone Number
207-827-6128
Fax Number
207-827-5533
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131160200 05 ME
institution
Provider Business Practice Location Address Details
Address
242 Brunswick St
City
Old Town
State
Maine
Zip
04468
Phone Number
207-827-6128
Fax Number
207-827-5533
person
Provider Business Mailing Address Details
Address
242 Brunswick St
City
Old Town
State
Maine
Zip
04468
Phone Number
207-827-6128
Fax Number
207-827-5533
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
201847 FQHC MEDICARE (Maine)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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