PCHC CLUBHOUSE
NPI 1629348156
Community/Behavioral Health in Bangor, ME

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

The NPI number for Penobscot Community Health Center is 1629348156. It was assigned to this organization in the NPPES registry on December 30, 2011. The provider is doing business as Pchc Clubhouse.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 30, 2011

30 SUMMER ST, BANGOR, ME 04401(207) 992-2636(207) 992-2638 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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About Pchc Clubhouse NPPES

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

PCHC CLUBHOUSE (NPI 1629348156) is a healthcare organization registered as a community/behavioral health in Bangor, Maine and active in the NPI registry since December 2011. The organization lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1629348156

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER

Location Address30 SUMMER STBangor, ME 04401

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

Phone(207) 992-2636

Fax(207) 992-2638

Organization SubpartNo

Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200

Enumeration DateDecember 30, 2011

Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration

✔ NPI 1629348156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in ME · 611003

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

30 SUMMER ST, Bangor, ME 04401

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Other Names 1

Doing Business AsPchc Clubhouse

Other Providers at the Same Location NPPES 7

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

PCHC PHYSICAL THERAPY AND BALANCE CENTER

Physical Therapist

30 SUMMER ST
BANGOR, ME 04401

Penobscot County (207) 945-5247

MAS MEDICAL STAFFING CORPORATION

Community/Behavioral Health

30 SUMMER ST, SUITE 5
BANGOR, ME 04401

Penobscot County (207) 561-9533

MS. LISA MARIE OUELLETTE LMSW-CC

Social Worker (Clinical)

30 SUMMER ST, SUITE 5
BANGOR, ME 04401

Penobscot County (207) 561-9533

MAS MEDICAL STAFFING CORPORATION

Home Health

30 SUMMER ST, SUITE 5
BANGOR, ME 04401

Penobscot County (207) 561-9533

MISS KATIE LYNN BARON LCPCC

Counselor (Mental Health)

30 SUMMER ST, SUITE 5
BANGOR, ME 04401

Penobscot County (207) 561-9533

MS. MARICIA G LENZ PT

Physical Therapist

30 SUMMER ST
BANGOR, ME 04401

Penobscot County (207) 992-2457

CATHERINE E. KOCZUR LCSW

Social Worker

30 SUMMER ST, SUITE 5
BANGOR, ME 04401

Penobscot County (207) 561-9533

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 1629348156. It was assigned to this organization in the NPPES registry on December 30, 2011. The provider is doing business as Pchc Clubhouse.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 30 Summer St, Bangor, ME 04401. The listed phone number is (207) 992-2636.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.