Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Parent organization
PENOBSCOT COMMUNITY HEALTH CENTER
Other names
Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENOBSCOT COMMUNITY HEALTH CENTER
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401
(207) 945-5247
(207) 945-3311
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 945-3311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
291U00000X
Clinical Medical Laboratory
20D1045004
ME
Other
Enumeration date
08/17/2011
Last updated
08/06/2018
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