Penobscot Community Health Care in Bangor - Nurse Practitioner
Penobscot Community Health Care - NPI 1588693790
Penobscot Community Health Care is a Nurse Practitioner in Bangor, Maine. Penobscot Community Health Care practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Penobscot Community Health Care is 1588693790. The last update date is 2020-08-22.
Penobscot Community Health Care's current location address is 1048 Union St, Bangor, Maine. You can contact this provider via phone number 2079455247 and fax number 2079922154. The mailing address for Penobscot Community Health Care is 1048 Union St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penobscot Community Health Care |
|---|---|
| Address | 1048 Union St, Bangor, Maine |
| Phone Number | 2079455247 |
| Fax Number | 2079922154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Kelley J Kevin |
| Telephone Number | 2079455247 |
NPI Number Detail
| NPI Number | 1588693790 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1048 Union St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44018600 |
| Phone Number | 2079455247 |
| Fax Number | 2079922154 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 38672 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Penobscot Community Health Care by the Centers for Medicare & Medicaid Services (CMS)?
The Penobscot Community Health Care has been assigned the NPI (National Provider Identifier) 1588693790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Penobscot Community Health Care located?
The Penobscot Community Health Care is located at 1048 Union St, Bangor, ME 44018600.
What is Penobscot Community Health Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Penobscot Community Health Care is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did Penobscot Community Health Care receive its 1588693790 assignment from the Centers for Medicare & Medicaid Services?
The Penobscot Community Health Care was assigned its 1588693790 on 2006-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Penobscot Community Health Care last refreshed?
The information related to the Penobscot Community Health Care, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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