| Penobscot Community Health Center | |
|
143 5th St Bangor ME 04401-6045 | |
| (207) 941-6220 | |
| Not Available |
| Full Name | Penobscot Community Health Center |
|---|---|
| Speciality | General Practice |
| Location | 143 5th St, Bangor, Maine |
| Authorized Official Name and Position | Lorelle Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Community Health Center Po Box 1599 Bangor ME 04402-1599 Ph: (207) 992-2456 | Penobscot Community Health Center 143 5th St Bangor ME 04401-6045 Ph: (207) 941-6220 |
| NPI Number | 1922840164 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922840164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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Bangor Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Center St, Bangor, ME 04401 Phone: 207-945-3800 Fax: 207-992-2398 | |
Penobscot Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-404-8200 | |
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