| Penquis Cap, Inc. | |
| 262 Harlow St Bangor ME 04401-4952 | |
| (207) 973-3500 | |
| (207) 973-3699 | 
| Full Name | Penquis Cap, Inc. | 
|---|---|
| Speciality | Clinic/center | 
| Location | 262 Harlow St, Bangor, Maine | 
| Authorized Official Name and Position | Charles Newton (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 2079733500 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Penquis Cap, Inc. 262 Harlow St Bangor ME 04401-4952 Ph: (207) 973-3500 | Penquis Cap, Inc. 262 Harlow St Bangor ME 04401-4952 Ph: (207) 973-3500 | 
| NPI Number | 1083635312 | 
|---|---|
| Provider Enumeration Date | 07/22/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083635312 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
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