Organization

Penobscot Community Health Center

May also be knows as Specialty Clinic

Specialist in Bangor, ME(View on Map)

Legal Business Name

Penobscot Community Health Center

Also Known As

Specialty Clinic

NPI Number

1427338854

NPI Type

Organization

Enumeration Date

08/17/2011

Specialties

(Taxonomies)

Code

174400000X
291U00000X

Primary Taxonomy

Yes
No

Licenses

State

Maine

License Number

20D1045004

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1599
992 UNION ST

City

Bangor
Bangor

State

ME
ME

Postal Code

04402-1599
04401

Country

US
US

Telephone Number

(207) 945-5247
(207) 945-5247

Authorized Official

Name

Lori Dwyer

Title or Position

PRESIDENT & CEO

Telephone Number

(207) 992-9200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/06/2018

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