Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
Bangor High School
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE DWYER ESQ (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
885 BROADWAY, BANGOR, ME 04401-2961
(207) 992-5500
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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