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PCHC INFUSION CENTER
NPI 1760973960
Clinic/Center - Infusion Therapy in Bangor, ME

Active since May 23, 2018CLIA 20D0718517 · Waiver
1012 UNION ST STE 3, BANGOR, ME 04401(207) 404-8100(207) 947-0435 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pchc Infusion Center NPPES

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

PCHC INFUSION CENTER (NPI 1760973960) is a healthcare organization registered as an infusion therapy in Bangor, Maine and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1760973960
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address1012 UNION ST STE 3Bangor, ME 04401-3058
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200
Phone(207) 404-8100
Fax(207) 947-0435
Organization SubpartYes
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateMay 23, 2018
✔ NPI 1760973960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1012 UNION ST STE 3, Bangor, ME 04401
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Other Names 1

Doing Business AsPchc Infusion Center

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 20D0718517

Penobscot Community Healthcare · Bangor, ME
Active · expires Dec 28, 2026
CLIA Number20D0718517
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorJacqueline Molinero
Laboratory Phone(207) 404-8100
Laboratory LocationPenobscot Community Healthcare1012 Union St, Bangor, ME 04401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Penobscot Community Health Center carries, from the Medicare DMEPOS supplier directory.

Penobscot Community Health Center

DMEPOS supplier · Bangor, ME
✔

Accepts Medicare assignment

Penobscot Community Health Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20683565
Medicare Participant SinceJuly 29, 2016
Supplier Location1012 Union StBangor, ME 04401
Phone(207) 404-8100
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1760973960. It was assigned to this organization in the NPPES registry on May 23, 2018. The provider is doing business as Pchc Infusion Center.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 1012 Union St Ste 3, Bangor, ME 04401. The listed phone number is (207) 404-8100.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does Penobscot Community Health Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Penobscot Community Health Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Penobscot Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0718517) is associated with this NPI, valid through December 28, 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 May 23, 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.