PCHC INFUSION CENTER
NPI 1760973960
Clinic/Center - Infusion Therapy in Bangor, ME
NPI Status: Active since May 23, 2018
Contact Information
1012 UNION ST STE 3
BANGOR, ME
ZIP 04401
Phone: (207) 404-8100
Fax: (207) 947-0435
- Organization
- Clinic/Center
- Infusion Therapy
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 20D0718517
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-28-2026
About PCHC INFUSION CENTER
This page provides the complete NPI Profile along with additional information for Pchc Infusion Center, a provider established in Bangor, Maine operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1760973960 assigned on May 2018. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Pchc Infusion Center. The authorized official of this NPI record is Lori L. Dwyer Esq. (President & Ceo)
- NPI
- 1760973960
- Provider Legal Name
- PENOBSCOT COMMUNITY HEALTH CENTER
- Other Organization Name
- PCHC INFUSION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1012 UNION ST STE 3 BANGOR, ME 04401
- Location Phone
- (207) 404-8100
- Location Fax
- (207) 947-0435
- Mailing Address
- PO BOX 1599 BANGOR, ME 04402
- Mailing Phone
- (207) 404-8200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-23-2018
- Last Update Date
- 05-23-2018
- Code Navigator
Pchc Infusion Center is a medicare supplier with PTAN 20683565 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20683565
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D0718517
- Facility Type
- Physician Office
- Certificate Effective Date
- December 29, 2024
- Certificate Expiration Date
- December 28, 2026
- Laboratory Director
- JACQUELINE MOLINERO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pchc Infusion Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 9 | 7 | 3 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 7 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 7 + 6 + 9 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1760973960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760973960, enumerated in the NPI registry as an "organization" on May 23, 2018
The provider is located at 1012 Union St Ste 3 Bangor, Me 04401 and the phone number is (207) 404-8100
This medical organization specializes in Clinic/Center with taxonomy code 261QI0500X with a focus in Infusion Therapy
The provider's CLIA number is 20D0718517 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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