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PENOBSCOT COMMUNITY HEALTH CENTER NPI 1013000942


NPI Information

NPI: 1013000942
Provider Name: PENOBSCOT COMMUNITY HEALTH CENTER

Doing Business As: BREWER HIGH SCHOOL BASED CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
79 PARKWAY S
BREWER, ME
ZIP 04412
Phone: (207) 992-2456
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PENOBSCOT COMMUNITY HEALTH CENTER is a general practice in Brewer, ME. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1013000942. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brewer High School Based Clinic.

The provider's business location address is:

79 PARKWAY S
BREWER, ME
ZIP 04412
Phone: (207) 992-2456
Fax: (207) 992-2154

The provider's authorized official is Lori L. Dwyer .
The authorized official title is President & Ceo and has the following contact phone number (207) 992-9200.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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