PENOBSCOT COMMUNITY HEALTH CARE (NPI# 1881624351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881624351 |
| Entity Type | Organization |
| Organization Name | PENOBSCOT COMMUNITY HEALTH CARE |
| Other Organization Name | HAMPDEN PHYSICAL THERAPY AND BALANCE CENTER |
| Practice Address |
177 Coldbrook Rd Hampden ME 04444-0000 |
| Mailing Address |
177 Coldbrook Road Hampden ME 04444-0000 |
| Practice Telephone | 2078622227 |
| Mailing Telephone | 2078622227 |
| Mailing Fax Number | 2078622252 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN KELLEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2079455247 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Hampden Physical Therapy and Balance Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992734164 | Penobscot Community Health Care | Family Medicine | 177 Coldbrook Road, Hampden, ME 04444-0000 | 2006-07-01 |
| 1588693790 | Penobscot Community Health Care | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2006-07-01 |
| Street Address |
177 COLDBROOK RD |
| City | HAMPDEN |
| State | ME |
| Zip Code | 04444-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396057824 | Lauren A Murray | Occupational Therapist | 177 Coldbrook Rd, Hampden, ME 04444 | 2010-07-13 |
| 1851547624 | Leslie S Farrington | Physical Therapist | 177 Coldbrook Rd, Hampden, ME 04444-1508 | 2008-08-13 |
| 1245260256 | Ellen Groleau | Physical Therapist | 177 Coldbrook Rd, Hampden, ME 04444-0000 | 2006-07-04 |
| 1447280409 | Lisa M Mulready | Physical Therapist | 177 Coldbrook Rd, Hampden, ME 04444 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669922258 | Kenneth Ingalls IIi | Physical Therapist | 11 Main Rd N, Hampden, ME 04444 | 2016-10-07 |
| 1841605557 | Alisa Renee Wing | Psychologist | 28a Main Road South, Hampden, ME 04444 | 2014-06-23 |
| 1629376470 | Kristyn Harriman Smith | Counselor | 25 Mayo Road, Hampden, ME 04444 | 2011-03-03 |
| 1639381775 | Regional School Unit No 22 | Local Education Agency (LEA) | 24 Main Road North, Hampden, ME 04444 | 2007-05-03 |
| 1700968153 | Deborah B Baker | Chiropractor | 638 Main Road North, Hampden, ME 04444 | 2006-10-19 |
| 1770695900 | Diana L. Prescott | Psychologist | 108 B Main Road South, Hampden Psychological Consultation, Pllc, Hampden, ME 04444 | 2006-09-01 |
| 1154817419 | Ashley Peabody | Physical Therapist | 11 Main Rd North, Hampden, ME 04444 | 2018-07-10 |
| 1851608251 | Erin Cara Lachance | Physical Therapist | 11 Main Road North, Hampden, ME 04444 | 2010-09-07 |
| 1770718876 | Hampden Psychological Consultation, Pllc | Psychologist | 108 B Main Road South, Hampden Psychological Consultation, Pllc, Hampden, ME 04444 | 2009-05-19 |
| 1316150444 | Msad #22 | Day Training, Developmentally Disabled Services | 24 Main Road North, Hampden, ME 04444 | 2007-05-07 |
| Find all providers in zip 04444 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215488416 | Jason Phelps | Specialist | 4 Independence Ave, Hampden, ME 04444-1300 | 2016-10-23 |
| 1588959647 | Tardif Community Therapy & Wellness Pa | Specialist | 11 Main Road North, Hampden, ME 04444-0227 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1649715905 | Rose S Mellino | Specialist | 234 Northeast Rd, Standish, ME 04084-6495 | 2016-12-22 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1104371772 | Tatsiana Fields | Specialist | 158 Old County Rd, Etna, ME 04434-3814 | 2016-08-23 |
| 1659730810 | Suzanne Greenlee | Specialist | 15 Jeannette Ave, Old Orchard Beach, ME 04064-1407 | 2016-02-16 |
| 1558746032 | Seth Trahan | Specialist | 12 Vine St, Bangor, ME 04401-6029 | 2015-07-24 |
| 1366824823 | Kimberly Dorval | Specialist | 16 Chadwick Street, Winslow, ME 04901 | 2015-06-22 |
| 1861890402 | Monica Thompson | Specialist | 110 Granite St Apt 20, Biddeford, ME 04005-3668 | 2014-12-14 |
| 1679971758 | Employment Happens | Specialist | 9 Pamela Dr, Winthrop, ME 04364 | 2014-12-05 |
| 1740699347 | Hilary Silver | Specialist | 640 Congress St, Portland, ME 04101-3305 | 2014-08-07 |
| 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.