Penquis Cap, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PENQUIS CAP, INC.

Practice address

262 Harlow St
Bangor, ME 04401-4952

Phone

(207) 973-3500

Fax

(207) 973-3699

NPI assigned

Jul 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Newton

Title

Executive Director

Phone

(207) 973-3500

Specialties & licenses 1

Addresses

Other names 1

• Penquis Health Services Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol A Knickerbocker, WHCNP

  • Women's Health Nurse Practitioner
  • Bangor, ME
  • NPI 1609808302
  NPD (past)
• Priscilla Ann Perry, WHCNP

  • Women's Health Nurse Practitioner
  • Bangor, ME
  • NPI 1356373005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083635312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014952",
            "telephone_number": "207-973-3500",
            "fax_number": "207-973-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014952",
            "telephone_number": "207-973-3500",
            "fax_number": "207-973-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENQUIS CAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-973-3500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penquis Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Penquis C.a.P., Inc.
• Penquis C.a.P., Inc.
• Penquis C.a.P., Inc.
• Penquis C.a.P., Inc.
• Penquis C.a.P., Inc.
• People First
• Shelby Peppers
• Ethan Thomas Percy, DO
• Alynna Mariz Samala Perez, MD
• Performance Physical Therapy and Sports Rehab Inc.

• Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.