Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
PCHC Main Lab
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
992 UNION ST. SUITE J, BANGOR, ME 04402
(207) 992-2336
(207) 992-2154
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
06/25/2018
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