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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