| Warren Center | |
|
6 Telcom Dr Bangor ME 04401-3072 | |
| (207) 941-2850 | |
| (207) 941-2852 |
| Full Name | Warren Center |
|---|---|
| Speciality | Clinic/center - Hearing And Speech |
| Location | 6 Telcom Dr, Bangor, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Center Po Box 1599 Bangor ME 04402-1599 Ph: (207) 941-2850 | Warren Center 6 Telcom Dr Bangor ME 04401-3072 Ph: (207) 941-2850 |
| NPI Number | 1285685628 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285685628 | NPI | - | NPPES |
| 103380000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Maine) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | () | Primary |
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