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CH01458M Penobscot Community Health Center (Active)
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Main Details
Name
Penobscot Community Health Center
Subdivision Name
MAINE VETERANS CENTER/HOMES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005704
340B ID
CH01458M
Grant Number
H80CS04291
Additional Details
Current Program Status
Active
Registration Date
10/4/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/5/2021
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Penobscot Community Health Center Inc.
Lorelle Dwyer, President & CEO
(207) 992-9200
Primary Contact
Penobscot Community Health Center Inc
Frank R McGrady, Executive Clinical Director of Pharmacy
(207) 992-9200 Ext: 1539
Addresses
Street Address
44 Hogan Rd
Bangor, ME 04401-5602
Billing Address
PENOBSCOT COMMUNITY HEALTH CENTER, INC.
103 Maine Ave
BANGOR, ME 04401-2100
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participated starting 1/1/2007, terminated 7/1/2021. Reinstated 1/1/2022.
10/05/2021
April 2025
April 2025
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