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PENOBSCOT COMMUNITY HEALTH CENTER
NPI 1356115406
General Practice in Old Town, ME

Active since November 09, 2023
203 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: July 19, 2026.

About Penobscot Community Health Center NPPES

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

PENOBSCOT COMMUNITY HEALTH CENTER (NPI 1356115406) 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

NPI1356115406
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address203 STILLWATER AVEOld Town, ME 04468-1665
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 1356115406 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

203 STILLWATER AVE, Old Town, ME 04468
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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

Other Providers at the Same Location NPPES

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

MRS. ANNA S CLARK MS
Counselor (Professional)
203 STILLWATER AVE
OLD TOWN, ME 04468
Penobscot County (207) 404-8000

Frequently Asked Questions

What is PENOBSCOT COMMUNITY HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1356115406, enumerated as an "organization" on November 09, 2023.

Where is the provider located?

The provider is located at 203 STILLWATER AVE OLD TOWN, ME 04468 and the phone number is (207) 404-8000.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.