Penobscot Community Health Center in Bangor - Federally Qualified Health Center (fqhc)
Penobscot Community Health Center - NPI 1427169010
Penobscot Community Health Center is a Federally Qualified Health Center (fqhc) in Bangor, Maine. Penobscot Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Penobscot Community Health Center is 1427169010. The last update date is 2018-08-06.
Penobscot Community Health Center's current location address is Po Box 1599, Bangor, Maine. You can contact this provider via phone number 2079455247 and fax number 2079470435. The mailing address for Penobscot Community Health Center is Po Box 1599, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penobscot Community Health Center |
|---|---|
| Address | Po Box 1599, Bangor, Maine |
| Phone Number | 2079455247 |
| Fax Number | 2079470435 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND PR |
|---|---|
| Authorized Official Name | Dwyer L. Lori |
| Credentials | ESQ. |
| Telephone Number | 2074048200 |
NPI Number Detail
| NPI Number | 1427169010 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2018-08-06 |
Provider Mailing Address Detail
| Address | Po Box 1599 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44021599 |
| Phone Number | 2079455247 |
| Fax Number | 2079470435 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131160100 | ME | -- | |
| 131160200 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Penobscot Community Health Center by the Centers for Medicare & Medicaid Services?
The Penobscot Community Health Center has been assigned the NPI (National Provider Identifier) 1427169010 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Penobscot Community Health Center's facilities are geographically located?
The facilities of Penobscot Community Health Center are physically situated at the following location: Po Box 1599, Bangor, ME, 44021599.
What is the Penobscot Community Health Center's area of specialization and corresponding taxonomy classification?
The Penobscot Community Health Center's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
When did the Penobscot Community Health Center receive its 1427169010?
The Penobscot Community Health Center was issued its 1427169010 on 2006-08-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Penobscot Community Health Center most recently updated or revised?
The information pertaining to Penobscot Community Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-06.
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