Organization · Type 2 NPI

Penobscot Community Health Center

Federally Qualified Health Center (FQHC) · Bangor, ME

NPI number 1740373679 Active

Practice location

86 Davis Rd
Bangor, ME 04401

Call (207) 992-2205 Map

Fax (207) 992-2207

Mailing address

PO Box 1599, 103 Maine Ave
Bangor, ME 04402-1599

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1740373679

Penobscot Community Health Center's National Provider Identifier is 1740373679, issued on Oct 2, 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.