DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PENOBSCOT COMMUNITY HEALTH CARE

MEDICARE: PENOBSCOT COMMUNITY HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner038672ME

General Provider Information

NPI Number : 1588693790
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENOBSCOT COMMUNITY HEALTH CARE
Provider Business Mailing Address
First Line : 1048 UNION ST
Second Line : SUITE 5
City : BANGOR
State : ME
Zip : 04401-8600
Country : US
Telephone Number : 207-945-5247
Fax Number : 207-992-2154
Provider Business Practice Location Address
First Line : 1012 UNION ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-3060
Country : US
Telephone Number : 207-945-5247
Fax Number : 207-992-2154
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. KEVIN J KELLEY
Credential :
Telephone Number : 207-945-5247
Provider Enumeration Date : 07/01/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1003761552 — CARRIE MILNER
Practice Location Address:
1012 UNION ST
BANGOR, ME
04401-3060
Practice Phone: 207-404-8100
Practice Fax: 207-947-0435
1568576122 — RACHEL SOLOTAROFF MD
Practice Location Address:
1012 UNION ST
BANGOR, ME
04401-3060
Practice Phone: 207-404-8100
Practice Fax: 207-947-0435
1992807762 — MADELEINE R MARTIN
Practice Location Address:
1012 UNION ST
BANGOR, ME
04401-3060
Practice Phone: 207-945-5247
Practice Fax: 207-992-2154
1730273897 — CHRISTOPHER MCINNIS LCSW
Practice Location Address:
1012 UNION ST , PENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME
04401-3060
Practice Phone: 207-404-8100
Practice Fax:
1750409223 — ANDREW J FLETCHER MD
Practice Location Address:
1012 UNION ST
BANGOR, ME
04401-3060
Practice Phone: 207-404-8100
Practice Fax:
1205037439 — WARREN A SHEARER MD
Practice Location Address:
1012 UNION ST
BANGOR, ME
04401-3060
Practice Phone: 207-404-8100
Practice Fax:

Directions to “PENOBSCOT COMMUNITY HEALTH CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.