Organization · Type 2 NPI

Penobscot Community Health Center

Infusion Therapy Clinic/Center · Bangor, ME

NPI number 1760973960 Active

Practice location

1012 Union St Ste 3
Bangor, ME 04401-3058

Call (207) 404-8100 Map

Fax (207) 947-0435

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Infusion Therapy Clinic/Center Primary	261QI0500X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Infusion Therapy Clinic/Center: Definition to come...

NPI record

NPI: 1760973960
Entity type: Organization (Type 2)
Issued: May 23, 2018
Last updated: May 23, 2018
Status: Active
Subpart: Yes of Penobscot Community Health Center

Other names

<unavail>
PCHC Infusion 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 1760973960

Penobscot Community Health Center's National Provider Identifier is 1760973960, issued on May 23, 2018. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Bangor, ME. The record was last updated on May 23, 2018.