PENOBSCOT COMMUNITY HEALTH CENTER
NPI 1316711468
General Practice in Old Town, ME

Q: What is Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1316711468. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as Old Town Elementary School RSU 34.

Q: What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 09, 2023

576 STILLWATER AVE, OLD TOWN, ME 04468(207) 404-8000 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Penobscot Community Health Center NPPES

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

PENOBSCOT COMMUNITY HEALTH CENTER (NPI 1316711468), doing business as Old Town Elementary School Rsu 34, is a healthcare organization registered as a general practice in Old Town, Maine and active in the NPI registry since November 2023. The organization lists Lorelle Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1316711468

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER

Location Address576 STILLWATER AVEOld Town, ME 04468-2131

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 992-2154

Phone(207) 404-8000

Organization SubpartNo

Authorized OfficialLorelle DwyerPresident & Ceo · (207) 992-9200

Enumeration DateNovember 9, 2023

NPPES CertifiedNovember 9, 2023

✔ NPI 1316711468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

576 STILLWATER AVE, Old Town, ME 04468

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Other Names 1

Doing Business AsOld Town Elementary School Rsu 34

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1316711468. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as Old Town Elementary School RSU 34.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 576 Stillwater Ave, Old Town, ME 04468. The listed phone number is (207) 404-8000.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.