BREWER HIGH SCHOOL BASED CLINIC – NPI #1013000942
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
BREWER HIGH SCHOOL BASED CLINIC is a provider located in BREWER, ME. NPPES has assigned the NPI number 1013000942 to BREWER HIGH SCHOOL BASED CLINIC on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BREWER HIGH SCHOOL BASED CLINIC” is a dba name, the actual legal business name for this organization is PENOBSCOT COMMUNITY HEALTH CENTER. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
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 BREWER HIGH SCHOOL BASED CLINIC below.
NPI Profile for
PENOBSCOT COMMUNITY HEALTH CENTER
(more than 19 years ago)
BREWER, ME 04412 Phone: (207) 992-2456 Fax: (207) 992-2154
103 MAINE AVE
BANGOR, ME 04402-1599 Phone: (207) 945-5247 Fax: (207) 992-2154
PRESIDENT & CEO
Phone: (207) 992-9200
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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.