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Contact Information

PENOBSCOT COMMUNITY HEALTH CENTER
30 SUMMER ST
BANGOR, ME04401
 Phone: 207-992-2636
 Fax: 207-992-2638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PENOBSCOT COMMUNITY HEALTH CENTER

NPI # 1629348156
LBN Legal business name PENOBSCOT COMMUNITY HEALTH CENTER
Authorized official LORI DWYER - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2011
Last updated 08/06/2018 - About 8 years ago
Identifiers
ME License # 611003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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