- Practice location
- 376 Main St, Jackman, ME 04945
- Phone
- 207-668-4300
- Fax
- 207-668-7605
- Last updated
- August 6, 2018
Penobscot Community Health Center is a healthcare organization based in Jackman, ME. Penobscot Community Health Center practices in Jackman, ME. The NPI Number for Penobscot Community Health Center is 1669802849. The current practice location address for Penobscot Community Health Center is 376 Main St, Jackman, ME 04945 and can be reached out via phone at 207-668-4300 and via fax at 207-668-7605.
Provider Profile Details
- NPI Number
- 1669802849
- Provider Name
- Penobscot Community Health Center
- Provider Entity Type
- Organization
- Address
- 376 Main St, Jackman, ME 04945
- Phone Number
- 207-668-4300
- Fax Number
- 207-668-7605
- 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
- Jackman Community Health Center (Doing Business As)
- Provider Enumeration Date
- November 25, 2013
- Last Update Date
- August 6, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 376 Main St
Jackman, ME 04945 - City
- Jackman
- State
- Maine
- Zip
- 04945
- Phone Number
- 207-668-4300
- Fax Number
- 207-668-7605
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
License Information
- Taxonomy
- 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 Jackman, ME
View all Clinic/Center, Federally Qualified Health Center (FQHC) providers in Jackman →- Kinjalbahen NayakStudent in an Organized Health Care Education/Training Program · NPI 1689536526
- Patricia S Doyle, MDFamily Medicine · NPI 1801851654
- Jeffrey A Hobbs, PACPhysician Assistant · NPI 1366919391
- Wanda M ChaissonIn Home Supportive Care · NPI 1528727153
- Anna N Babiarz, PACPhysician Assistant · NPI 1255389987
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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 1669802849. It was assigned on November 25, 2013 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).
Where does Penobscot Community Health Center practice?
The practice location is 376 Main St, Jackman, ME 04945. The office can be reached at 207-668-4300 (phone) or 207-668-7605 (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 1669802849 directly on the NPPES registry website.