| Hope House Health Center | |
|
181 Corporate Drive Bangor ME 04401 | |
| (207) 992-2636 | |
| (207) 992-2638 |
| Full Name | Hope House Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 Corporate Drive, Bangor, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope House Health Center Po Box 1599 Bangor ME 04402-1599 Ph: (207) 992-9200 | Hope House Health Center 181 Corporate Drive Bangor ME 04401 Ph: (207) 992-2636 |
| NPI Number | 1174845697 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 0143212670 |
|---|---|
| Medicare Enrollment ID | O20111012000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174845697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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