PCHC MAIN LAB
NPI 1659464584
Clinical Medical Laboratory in Bangor, ME

Active since October 02, 2006CLIA 20D1045004 · Certificate of Compliance
992 UNION ST. SUITE J, BANGOR, ME 04402(207) 992-2336(207) 992-2154 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2018, Nov 21, 2016 (2 updates tracked since 2016).

About Pchc Main Lab NPPES

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

PCHC MAIN LAB (NPI 1659464584) is a healthcare organization registered as a clinical medical laboratory in Bangor, Maine and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 23, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1659464584
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address992 UNION ST. SUITE JBangor, ME 04402
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247
Fax(207) 992-2154
Organization SubpartNo
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 25, 20182 updates tracked since enumeration
✔ NPI 1659464584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedFamily MedicineTaxonomy 207Q00000X
992 UNION ST. SUITE J, Bangor, ME 04402

Other Names 1

Doing Business AsPchc Main Lab

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pchc Main Lab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

144

Medicare enrollment records show 144 clinicians reassign Medicare billing to Pchc Main Lab, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner68
Clinical Social Worker27
Family Practice14
Mental Health Counselor10
Pediatric Medicine8
Qualified Audiologist6
Internal Medicine3
Psychiatry2
5 other specialties6

Nearest to this location (20)

See all 144
Nurse Practitioner
NPI 1255703526
992 UNION ST STE 5
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003761552
992 UNION ST STE 5
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710345699
992 UNION ST
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1013006402
992 UNION ST
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487988242
992 UNION ST STE 3
Bangor, ME 04401
(207) 404-8330
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508809500
992 UNION ST PENOBSCOT COMMUNITY HEALTH CENTER
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821826371
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1114864030
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS0.1 mi
Family Practice
NPI 1518283530
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1376995928
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1902901283
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1871218255
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1427156538
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1134350234
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1568576122
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1982789087
895 UNION ST STE 12
Bangor, ME 04401
(207) 973-7979
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1922538875
6 TELCOM DR FL 1
Bangor, ME 04401
(207) 941-2850
✔ Accepts Medicare0.6 mi
Pediatric Medicine
NPI 1669411799
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ PECOS✔ Accepts Medicare0.6 mi
Registered Dietitian or Nutrition Professional
NPI 1255678553
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ Accepts Medicare0.6 mi
Qualified Speech Language Pathologist
NPI 1124785746
6 TELCOM DR
Bangor, ME 04401
(207) 941-2850
0.6 mi
See all 144 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 Compliance 20D1045004

Penobscot Community Health Care Laboratory · Bangor, ME
Active · expires Nov 23, 2026
CLIA Number20D1045004
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorChung H. Shum
Laboratory Phone(207) 992-2336
Laboratory LocationPenobscot Community Health Care Laboratory992 Union Street Suite J, Bangor, ME 04401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1659464584. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Pchc Main Lab.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 992 Union St. Suite J, Bangor, ME 04402. The listed phone number is (207) 992-2336.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Penobscot Community Health Center enrolled in Medicare?

Yes. Penobscot Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 13 Medicare specialties reassign their Medicare billing to Penobscot Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (68), Clinical Social Worker (27) and Family Practice (14). Of these, 6 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Penobscot Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 20D1045004) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on June 25, 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.