OrganizationActive
Penobscot Community Health Center
NPI 1053625921 · Urgent Care Clinic/Center · Old Town, ME
Provider details
- NPI number
- 1053625921
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Penobscot Community Health Center
- Organization subpart
- Yes
- Authorized official
- Lori Dwyer, President & Ceo(207) 992-9200
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
242 Brunswick St
Old Town, ME 04468-1613
Phone: (207) 827-6128
Street-level locationGet directions
Mailing address
Po Box 1599
Bangor, ME 04402-1599
Other names (DBA / former)
- Doing business as
- Pchc Walk in - Old Town
Registry dates
- Enumerated
- 2010-08-03
- Last updated
- 2018-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.