- Practice location
- 30 Summer St, Bangor, ME 04401
- Phone
- 207-992-2636
- Fax
- 207-992-2638
- Last updated
- August 6, 2018
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 1629348156 and holds a License No. 611003 (ME). The current practice location address for Penobscot Community Health Center is 30 Summer St, Bangor, ME 04401 and can be reached out via phone at 207-992-2636 and via fax at 207-992-2638.
Provider Profile Details
- NPI Number
- 1629348156
- Provider Name
- Penobscot Community Health Center
- Provider Entity Type
- Organization
- Address
- 30 Summer St, Bangor, ME 04401
- Phone Number
- 207-992-2636
- Fax Number
- 207-992-2638
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Lori L. Dwyer, ESQ · President & Ceo · 207-992-9200
- Other Names
- Pchc Clubhouse (Doing Business As)
- Provider Enumeration Date
- December 30, 2011
- Last Update Date
- August 6, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Summer St
Bangor, ME 04401 - City
- Bangor
- State
- Maine
- Zip
- 04401
- Phone Number
- 207-992-2636
- Fax Number
- 207-992-2638
Provider Business Mailing Address Details
- Address
- Po Box 1599
Bangor, ME 04402-1599 - City
- Bangor
- State
- ME
- Zip
- 04402-1599
- Phone Number
- 207-945-5247
- Fax Number
- 207-947-0435
License Information
- License Number
- 611003
- License State
- ME
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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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 1629348156. It was assigned on December 30, 2011 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 Community/Behavioral Health (code 251S00000X), licensed in ME under license number 611003.
Where does Penobscot Community Health Center practice?
The practice location is 30 Summer St, Bangor, ME 04401. The office can be reached at 207-992-2636 (phone) or 207-992-2638 (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 1629348156 directly on the NPPES registry website.