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BREWER MEDICAL CENTER
NPI 1841475712
Clinic/Center - Federally Qualified Health Center (FQHC) in Brewer, ME

Active since January 09, 2008CLIA 20D1059876 · Waiver
735 WILSON ST, BREWER, ME 04412(207) 989-1567(207) 989-6889 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Brewer Medical Center NPPES

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

BREWER MEDICAL CENTER (NPI 1841475712) is a healthcare organization registered as a federally qualified health center (fqhc) in Brewer, Maine and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1841475712
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address735 WILSON STBrewer, ME 04412
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 947-0435
Phone(207) 989-1567
Fax(207) 989-6889
Organization SubpartYes
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateJanuary 9, 2008
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
✔ NPI 1841475712 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
735 WILSON ST, Brewer, ME 04412
Open in Google Maps ↗

Other Names 1

Doing Business AsBrewer Medical Center

Other Identifiers 2

Medicaid131160200ME
Medicaid131160100ME

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 20D1059876

Brewer Medical Center · Brewer, ME
Active · expires Nov 8, 2026
CLIA Number20D1059876
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJacqueline Molinero
Laboratory Phone(207) 989-1567
Laboratory LocationBrewer Medical Center735 Wilson St, Brewer, ME 04412
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

BROOKE A MORIN FNPC
Nurse Practitioner
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
BRITTANY BARKER LCSW
Social Worker (Clinical)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 992-2205
DAVID P WADE PAC
Physician Assistant
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
MS. PATRICIA ANN KENALEY FNP
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567
BOBBI J MCLAIN CFNP
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 404-8100
MS. JENNIFER LYNN MOSS LCSW
Social Worker (Clinical)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 945-5247
BRAYLEE WARDWELL
Pharmacist
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 992-4100
GEORGE L CASE FNPC
Nurse Practitioner (Family)
735 WILSON ST
BREWER, ME 04412
Penobscot County (207) 989-1567

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 1841475712. It was assigned to this organization in the NPPES registry on January 9, 2008. The provider is doing business as Brewer Medical Center.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 735 Wilson St, Brewer, ME 04412. The listed phone number is (207) 989-1567.

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 20D1059876) is associated with this NPI, valid through November 8, 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 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.