NPI | 1639419468 |
---|---|
Doing Business As | PCHC WALK IN - BANGOR |
Entity Type | Organization |
Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2013-02-14 |
Last Update Date | 2018-02-22 |