PENOBSCOT COMMUNITY HEALTH CARE
NPI 1427169010
Clinic/Center - Federally Qualified Health Center (FQHC) in Bangor, ME

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since August 31, 2006

1012 UNION ST, BANGOR, ME 04401(207) 945-5247(207) 907-7079 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2018, Jan 19, 2018 (2 updates tracked since 2018).

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About Penobscot Community Health Care NPPES

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

PENOBSCOT COMMUNITY HEALTH CARE (NPI 1427169010) is a healthcare organization registered as a federally qualified health center (fqhc) in Bangor, Maine and active in the NPI registry since August 2006. The organization lists Lori L. Dwyer, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1427169010

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER

Location Address1012 UNION STBangor, ME 04401

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 947-0435

Phone(207) 945-5247

Fax(207) 907-7079

Organization SubpartNo

Authorized OfficialLori L. DwyerCeo And President · (207) 404-8200

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration

✔ NPI 1427169010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedGeneral PracticeTaxonomy 208D00000X

1012 UNION ST, Bangor, ME 04401

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Other Names 1

Doing Business AsPenobscot Community Health Care

Other Identifiers 2

Medicaid131160200ME

Medicaid131160100ME

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

24 services24 patients

Other Providers at the Same Location NPPES 20

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

MRS. MARGARET ANNE SMITH OTR LMT

Occupational Therapist