PENOBSCOT COMMUNITY HEALTH CENTER; NPI #1669802849

Contact Information

PENOBSCOT COMMUNITY HEALTH CENTER

376 MAIN ST
JACKMAN, ME 04945

Phone: 207-668-4300
Fax: 207-668-7605
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for PENOBSCOT COMMUNITY HEALTH CENTER

NPI #	`1669802849`
LBN Legal business name	PENOBSCOT COMMUNITY HEALTH CENTER
Authorized official	LORI DWYER - (PRESIDENT & CEO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/25/2013
Last updated	08/06/2018 - About 8 years ago
Identifiers	n/a

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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