Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
PCHC Hutchinson Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT AND CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
80 BELMONT AVE STE 3, BELFAST, ME 04915-7530
(207) 338-6900
(207) 338-4974
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/21/2013
Last updated
04/20/2021
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