Penobscot Community Health Center

NPI 1053410894 - Family Medicine - 207Q00000X

NPI Details
NPI 1053410894
Enumeration Date 09/21/2006
Last Updated 01/24/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH H KENNETH
Position CEO
Phone (207) 992-2636
Fax (207) 992-2638
Practice Location
34 SUMMER ST
BANGOR ME, 04401, US
Phone (207) 992-2636
Fax (207) 992-2638
Business Location
1048 UNION ST
SUITE 5
BANGOR ME, 04401, US
Phone (207) 945-5247
Fax (207) 992-2154
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Penobscot Community Health Center NPI is 1053410894, taxonomy code is 207Q00000X Penobscot Community Health Center physically located at 34 Summer St, Bangor ME, 04401. NPI Number 1033115704 has the healthcare provider type.

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1053410894 NPI number is provided on an as is basis without warranty of any kind. 1053410894 is maintained by the National Plan & Provider Enumeration System. The contents of Penobscot Community Health Center are for informational purposes only.