WINTERPORT COMMUNITY HEALTH CENTER – NPI #1093136871
Clinic/Center

WINTERPORT COMMUNITY HEALTH CENTER is an AHC clinic located in WINTERPORT, ME. NPPES has assigned the NPI number 1093136871 to WINTERPORT COMMUNITY HEALTH CENTER on December 23, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WINTERPORT COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is PENOBSCOT COMMUNITY HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Aug 06, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WINTERPORT COMMUNITY HEALTH CENTER below.

NPI Profile for
PENOBSCOT COMMUNITY HEALTH CENTER

NPI Number
1093136871
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENOBSCOT COMMUNITY HEALTH CENTER
Doing Business As (dba): WINTERPORT COMMUNITY HEALTH CENTER
Primary location
775 N MAIN ST
WINTERPORT, ME 04496
Phone: (207) 945-5247 Fax:
Mailing address
PO BOX 1599
BANGOR, ME 04402-1599
Phone: (207) 945-5247 Fax:
Organization Subpart
Yes - WINTERPORT COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
LORI DWYER
PRESIDENT & CEO
Phone: (207) 992-9200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.