| Penobscot Community Health Center | |
|
181 Corporate Drive Bangor ME 04401 | |
| (207) 992-2636 | |
| (207) 992-2638 |
| Full Name | Penobscot Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 Corporate Drive, Bangor, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Community Health Center Po Box 1599 Bangor ME 04402-1599 Ph: (207) 992-9200 | Penobscot Community Health Center 181 Corporate Drive Bangor ME 04401 Ph: (207) 992-2636 |
| NPI Number | 1174845697 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 0143212670 |
|---|---|
| Medicare Enrollment ID | O20111012000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174845697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Center For Integrative And Regenerative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 State St Ste 1b, Bangor, ME 04401 Phone: 207-947-9200 | |
Independent Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 Ridgewood Dr, Bangor, ME 04401 Phone: 207-947-0768 Fax: 207-945-9705 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Main St Ste 3, Bangor, ME 04401 Phone: 773-292-4800 Fax: 773-564-4059 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Garland St, Bangor, ME 04401 Phone: 207-941-6230 | |
Bangor Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Center St, Bangor, ME 04401 Phone: 207-945-3800 Fax: 207-992-2398 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-404-8200 | |
Penquis Cap, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 262 Harlow St, Bangor, ME 04401 Phone: 207-973-3500 Fax: 207-973-3699 |