Organization · Type 2 NPI

Penobscot Community Health Center

Federally Qualified Health Center (FQHC) · Bangor, ME

NPI number 1174845697 Active

Practice location

181 Corporate Drive
Bangor, ME 04401

Call (207) 992-2636 Map

Fax (207) 992-2638

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Lindsay Day, LCSWClinical Social Worker Bangor, ME NPI 1962846915

Other federally qualified health center (fqhc) providers in Bangor

See all in Bangor →

NPI record

NPI: 1174845697
Entity type: Organization (Type 2)
Issued: Feb 25, 2010
Last updated: Aug 6, 2018
Status: Active
Subpart: Yes of Penobscot Community Health Center

Other names

<unavail>
Hope House Health Center · doing business as

Authorized official

Lori L. Dwyer, ESQ.
President & CEO
(207) 992-9200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174845697

Penobscot Community Health Center's National Provider Identifier is 1174845697, issued on Feb 25, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bangor, ME. The record was last updated on Aug 6, 2018.