Penobscot Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Winterport, Maine. The current practice location for Penobscot Community Health Center is 775 N Main St, Winterport, Maine. For appointments, you can reach them via phone at
(207) 945-5247. The mailing address for Penobscot Community Health Center is Po Box 1599, Bangor, Maine and phone number is (207) 945-5247.
Penobscot Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1093136871. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(207) 945-5247.
Primary Care Clinic Profile
| Full Name | Penobscot Community Health Center |
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| Speciality | Clinic/Center |
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| Location | 775 N Main St, Winterport, Maine |
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| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
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| Authorized Official Contact | 2079929200 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Penobscot Community Health Center
Po Box 1599
Bangor
ME 04402-1599
Ph: (207) 945-5247 | Penobscot Community Health Center
775 N Main St
Winterport
ME 04496
Ph: (207) 945-5247 |
NPI Details:
| NPI Number | 1093136871 |
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| Provider Enumeration Date | 12/23/2013 |
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| Last Update Date | 08/06/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0143212670 |
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| Medicare Enrollment ID | O20140122001926 |
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Medical Identifiers
Medical identifiers for Penobscot Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093136871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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