OrganizationActive
Penobscot Community Health Center
NPI 1568123594 · Federally Qualified Health Center (FQHC) · Bangor, ME
Provider details
- NPI number
- 1568123594
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lorelle Dwyer, President & Ceo(207) 992-9200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
885 Broadway
Bangor, ME 04401-2961
Phone: (207) 992-5500
Fax: (207) 990-3365
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1599
Bangor, ME 04402-1599
Other names (DBA / former)
- Other name
- Bangor High School
Registry dates
- Enumerated
- 2022-01-03
- Last updated
- 2022-01-03
- Certified
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.