Organization
PENOBSCOT VALLEY HOSPITAL
Active
Other names
Penobscot Primary Care (Rural Health)
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A PELKEY (CEO)
(207) 794-7129
Entity
Organization
Contact information
Practice address
252 ENFIELD RD, SUITE 3, LINCOLN, ME 04457-4146
(207) 794-7215
Mailing address
7 TRANSALPINE RD, LINCOLN, ME 04457-4222
(207) 794-3321
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
37453
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37075
DHHS - STATE OF MAINE
ME
Enumeration date
01/26/2010
Last updated
01/10/2025
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