NPIMap

Organization Active NPI

Penquis C.a.P., Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
National Provider Identifier
1720087075
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
220724 Issued in ME
Legal business name
PENQUIS C.A.P., INC.
Practice address
262 Harlow St
Bangor, ME 04401-4952
Phone
(207) 973-3500
NPI assigned
Jul 19, 2005
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Kara Hay
Title
Ceo
Phone
(207) 973-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 220724 ME Primary

Addresses

Primary practice location

262 Harlow St
Bangor, ME 04401-4952

Mailing address

PO Box 1162
Bangor, ME 04402-1162
Phone (207) 973-3500

Other identifiers 1

IdentifierTypeStateIssuer
164840301MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Penquis Cap Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34 Penn Plz
Bangor, ME 04401
Phone (207) 941-2952

148 E Main St
Dover Foxcroft, ME 04426
Phone (207) 564-3323

572 Bangor Rd
Dovr Foxcroft, ME 04426
Phone (207) 564-2464

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1720087075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021162",
            "telephone_number": "207-973-3500"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENQUIS C.A.P., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-973-3500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "220724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164840301",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.