Provider Demographics
NPI:1841735297
Name:PENOBSCOT BAY MEDICAL CENTER
Entity Type:Organization
Organization Name:PENOBSCOT BAY MEDICAL CENTER
Other - Org Name:PSYCHIATRIC AND ADDICTION RECOVERY CENTER (PARC)
Other - Org Type:Other Name
Authorized Official - Title/Position:REGIONAL CFO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DRINKWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-921-6721
Mailing Address - Street 1:4 WHITE STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841
Mailing Address - Country:US
Mailing Address - Phone:207-921-6750
Mailing Address - Fax:207-921-6730
Practice Address - Street 1:6 GLEN COVE DRIVE
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-921-8390
Practice Address - Fax:207-921-5286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENOBSCOT BAY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit