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PENQUIS HEALTH SERVICES
NPI 1083635312
Clinic/Center in Bangor, ME

Active since July 22, 2006CLIA Certified · 3 labs
262 HARLOW ST, BANGOR, ME 04401(207) 973-3500(207) 973-3699 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penquis Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENQUIS HEALTH SERVICES (NPI 1083635312) is a healthcare organization registered as a clinic/center in Bangor, Maine and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Charles Newton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083635312
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePENQUIS CAP, INC.
Location Address262 HARLOW STBangor, ME 04401-4952
Mailing Address262 Harlow StBangor, ME 04401-4952 · (207) 973-3500 · Fax (207) 973-3699
Phone(207) 973-3500
Fax(207) 973-3699
Organization SubpartNo
Authorized OfficialCharles NewtonExecutive Director · (207) 973-3500
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083635312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
262 HARLOW ST, Bangor, ME 04401
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Other Names 1

Other NamePenquis Health Services

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2304878

Penquis Cap · Dover Foxcroft, ME
Active · expires May 20, 2028
CLIA Number20D2304878
Laboratory TypeBh Licensed Facility
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorAimee L. Kerrigan
Laboratory Phone(207) 973-3500
Laboratory LocationPenquis Cap42 Mechanic Street, Dover Foxcroft, ME 04426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2304551

Penquis Cap · Dover Foxcroft, ME
Active · expires May 14, 2028
CLIA Number20D2304551
Laboratory TypeBh Licensed Facility
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorAimee L. Kerrigan
Laboratory Phone(207) 973-3500
Laboratory LocationPenquis Cap1164 W Main Street, Dover Foxcroft, ME 04426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2304552

Penquis Cap · Corinth, ME
Active · expires May 14, 2028
CLIA Number20D2304552
Laboratory TypeBh Licensed Facility
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorAimee L. Kerrigan
Laboratory Phone(207) 973-3500
Laboratory LocationPenquis Cap69 Marsh Road, Corinth, ME 04427
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENQUIS C.A.P., INC.
Custodial Care Facility
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Case Management
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Home Health
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Community/Behavioral Health
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Day Training, Developmentally Disabled Services
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Community Based Residential Treatment Facility, Mental Illness
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
CAROL A KNICKERBOCKER WHCNP
Nurse Practitioner (Women's Health)
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penquis Cap, Inc.'s NPI number?

The NPI number for Penquis Cap, Inc. is 1083635312. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is also known as Penquis Health Services.

Where is Penquis Cap, Inc. located?

Penquis Cap, Inc. is located at 262 Harlow St, Bangor, ME 04401. The listed phone number is (207) 973-3500.

What is Penquis Cap, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Penquis Cap, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Penquis Cap, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.