| Penquis C.a.p., Inc. | |
|
262 Harlow St Bangor ME 04401-4952 | |
| (207) 973-3500 | |
| Not Available |
| Full Name | Penquis C.a.p., Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 262 Harlow St, Bangor, Maine |
| Authorized Official Name and Position | Kara Hay (CEO) |
| Authorized Official Contact | 2079733500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penquis C.a.p., Inc. Po Box 1162 Bangor ME 04402-1162 Ph: (207) 973-3500 | Penquis C.a.p., Inc. 262 Harlow St Bangor ME 04401-4952 Ph: (207) 973-3500 |
| NPI Number | 1720087075 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720087075 | NPI | - | NPPES |
| 164840301 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 220724 (Maine) | Primary |
News Archive
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