NPIMap

Penobscot Community Health Center

A Medicare group practice based in Bangor, ME: 21 NPIs enrolled under one PECOS associate control ID (PAC ID 0143212670), with 161 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143212670The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
ME
Enrollments
17
Group size
135 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
29In 6 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20040402000293 ME Part A Provider - Federally Qualified Health Center (FQHC) 1427169010
O20040819000698 ME Part B Supplier - Clinic/Group Practice 1427169010
O20080415000778 ME Part A Provider - Federally Qualified Health Center (FQHC) 1568555498
O20080418000295 ME Part A Provider - Federally Qualified Health Center (FQHC) 1740373679
O20191211001909 ME Part A Provider - Federally Qualified Health Center (FQHC) 1083259410
O20160711001550 ME Part B Supplier - Mass Immunization (Roster Biller Only) 1427169010
O20140122001926 ME Part A Provider - Federally Qualified Health Center (FQHC) 1093136871
O20130809000025 ME Part A Provider - Federally Qualified Health Center (FQHC) 1023458320
O20131227000601 ME Part A Provider - Federally Qualified Health Center (FQHC) 1669802849
O20130715000138 ME Part A Provider - Federally Qualified Health Center (FQHC) 1356683981
O20151002002724 ME DME Supplier - Pharmacy 1336467695
O20180228001877 ME DME Supplier - Pharmacy 1427169010
O20161116003028 ME DME Supplier - Pharmacy 1871902098
O20091125000111 ME Part A Provider - Federally Qualified Health Center (FQHC) 1629161559
O20090213000522 ME Part A Provider - Federally Qualified Health Center (FQHC) 1841475712
O20120202000926 ME Part A Provider - Federally Qualified Health Center (FQHC) 1427338854
O20111012000118 ME Part A Provider - Federally Qualified Health Center (FQHC) 1174845697

NPIs in this group 21

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 161

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Clinicians who reassign their Medicare benefits to this group (154) or whom Care Compare lists as members (135).

Sources for this page