JACKMAN COMMUNITY HEALTH CENTER
NPI 1669802849
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackman, ME

Active since November 25, 2013CLIA 20D0709006 · Waiver
376 MAIN ST, JACKMAN, ME 04945(207) 668-4300(207) 668-7605 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Jackman Community Health Center NPPES

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

JACKMAN COMMUNITY HEALTH CENTER (NPI 1669802849) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackman, Maine and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1669802849
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address376 MAIN STJackman, ME 04945
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247
Fax(207) 668-7605
Organization SubpartYes
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateNovember 25, 2013
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
NPI 1669802849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
376 MAIN ST, Jackman, ME 04945

Other Names 1

Doing Business AsJackman Community Health Center

Accepted Insurance

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 Waiver 20D0709006

Jackman Community Health Center · Jackman, ME
Active · expires Dec 4, 2026
CLIA Number20D0709006
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorJacqueline Molinero
Laboratory Phone(207) 668-7755
Laboratory LocationJackman Community Health Center376 Main St, Jackman, ME 04945
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nursing Facility/Intermediate Care Facility
376 MAIN ST
JACKMAN, ME 04945
Physician Assistant
376 MAIN ST
JACKMAN, ME 04945
Physician Assistant
376 MAIN ST
JACKMAN, ME 04945
Clinic/Center (Urgent Care)
376 MAIN ST
JACKMAN, ME 04945
Physician Assistant
376 MAIN ST
JACKMAN, ME 04945
Ambulance (Land Transport)
376 MAIN ST
JACKMAN, ME 04945
Family Medicine
376 MAIN ST
JACKMAN, ME 04945
Social Worker
376 MAIN ST
JACKMAN, ME 04945

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 1669802849. It was assigned to this organization in the NPPES registry on November 25, 2013. The provider is doing business as Jackman Community Health Center.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 376 Main St, Jackman, ME 04945. The listed phone number is (207) 668-4300.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Penobscot Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0709006) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Penobscot Community Health Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Penobscot Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 7 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.