Organization · Type 2 NPI

Penobscot Community Health Center

Federally Qualified Health Center (FQHC) · Bangor, ME

NPI number 1427169010 Active

Practice location

1012 Union St
Bangor, ME 04401

Fax (207) 907-7079

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1427169010

Penobscot Community Health Center's National Provider Identifier is 1427169010, issued on Aug 31, 2006. 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.