PENOBSCOT COMMUNITY HEALTH CENTER (NPI# 1659464584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659464584 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Other Organization Name | PCHC MAIN LAB |
| Practice Address |
992 Union St. Suite J Bangor ME 04402 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079922336 |
| Practice Fax Number | 2079922154 |
| Mailing Telephone | 2079455247 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | LORI L. DWYER (PRESIDENT & CEO) |
| Authorized Official Telephone | 2079929200 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| PCHC Main Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1134632870 | Penobscot Community Health Center | Community/Behavioral Health | 85 Hammond St, Bangor, ME 04401-4913 | 2017-11-15 |
| 1720535651 | Penobscot Community Health Center | Dentist | 100 Moosehead Blvd, Bangor, ME 04401 | 2016-09-08 |
| 1174845697 | Penobscot Community Health Center | Clinic/Center | 181 Corporate Drive, Bangor, ME 04401 | 2010-02-25 |
| 1013000942 | Penobscot Community Health Center | General Practice | 79 Parkway S, Brewer, ME 04412 | 2006-10-02 |
| 1831282771 | Penobscot Community Health Center | Family Medicine | 1048 Union St, Suite 5, Bangor, ME 04401-8600 | 2006-10-02 |
| 1922191857 | Penobscot Community Health Center | General Practice | 92 Pendleton St, Brewer, ME 04412 | 2006-10-02 |
| 1083259410 | Penobscot Community Health Center | Family Medicine | 1068 Union St, Bangor, ME 04401-3016 | 2019-11-08 |
| 1366800138 | Penobscot Community Health Center | Clinic/Center | 376 Main St, Jackman, ME 04945-5214 | 2016-02-08 |
| 1275906893 | Penobscot Community Health Center | Podiatrist | 242 Brunswick St, Old Town, ME 04468 | 2015-11-04 |
| Street Address |
992 UNION ST. SUITE J |
| City | BANGOR |
| State | ME |
| Zip Code | 04402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1326319716 | Rachel Audrey Booker | Nurse Practitioner | 42 Cedar St., Bangor, ME 04402 | 2012-01-18 |
| 1619114634 | Spruce Run - Th Program | Case Management | 77 Essex, Bangor, ME 04402 | 2009-01-13 |
| 1659463040 | Brent Scobie | Social Worker | Acadia Hospital Corp, 268 Stillwater Avenue, Bangor, ME 04402 | 2006-09-29 |
| 1245719921 | Amber Munoz | Social Worker | 268 Stillwater Ave, Bangor, ME 04402 | 2018-08-13 |
| 1457415184 | Community Health and Counseling Services | Community/Behavioral Health | 42 Cedar St, Bangor, ME 04402 | 2006-12-20 |
| 1588671754 | Scott A Thomas | Emergency Medicine | 360 Broadway, Emergency Department, Bangor, ME 04402 | 2006-08-01 |
| 1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
| 1558579805 | Terry Mosher | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04402-0422 | 2007-05-18 |
| 1356476436 | Nancy J Grover | Nurse Practitioner | 42 Cedar Street, Bangor, ME 04402-0425 | 2007-02-22 |
| Find all providers in zip 04402 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750789897 | Dahl Chase Diagnostic Services | Clinical Medical Laboratory | 417 State St, Suite 440, Bangor, ME 04401-6630 | 2014-12-05 |
| 1427338854 | Penobscot Community Health Center | Clinical Medical Laboratory | 992 Union St, Bangor, ME 04401 | 2011-08-17 |
| 1316196264 | Medlab792 | Clinical Medical Laboratory | 792 State St, Bangor, ME 04401-5610 | 2008-09-16 |
| 1104847110 | Dahl Chase Diagnostic Services | Clinical Medical Laboratory | 417 State St, Suite 440, Bangor, ME 04401 | 2006-07-22 |
| 1225035132 | Affiliated Laboratory, Inc. | Clinical Medical Laboratory | 417 State St, Bangor, ME 04401-6630 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972970341 | Provider Laboratory Services LLC | Clinical Medical Laboratory | 88 Oxford St, Lewiston, ME 04240-7825 | 2015-09-01 |
| 1467845990 | G6 Genomics, LLC | Clinical Medical Laboratory | 189 Darling Ave, Suite A-34, South Portland, ME 04106 | 2015-03-09 |
| 1265793202 | Accupath Diagnostic Laboratories Inc | Clinical Medical Laboratory | 27 Homeland Lane, Friendship, ME 04547 | 2012-06-06 |
| 1154693703 | Coastal Testing | Clinical Medical Laboratory | 316 Us Route 1, Suite G, York, ME 03909-1673 | 2012-01-29 |
| 1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
| 1346228509 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 222 Auburn St, Portland, ME 04103-6004 | 2006-01-06 |
| 1306846753 | Nordx | Clinical Medical Laboratory | 301a Us Route 1, Scarborough, ME 04074-9701 | 2005-07-28 |
| 1588661565 | Foundation for Blood Research | Clinical Medical Laboratory | 8 Nonesuch Rd, Scarborough, ME 04074-9369 | 2005-07-05 |
| 1598387318 | Nephrogen Inc. | Clinical Medical Laboratory | 39 Church St, Bethel, ME 04217-3809 | 2020-05-14 |
| 1427444934 | Sunshine Pathways, LLC | Clinical Medical Laboratory | 34 Atlantic Pl, South Portland, ME 04106-2316 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.