Passamaquoddy Health Center

LBN: Indian Township Tribal Government
Passamaquoddy Health Center is an health care organization with primary practice located at 401 Peter Dana Point Road , Princeton ME 04668-0097. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Indian Township Tribal Government can be contacted via phone (207) 796-2321, or through Hanson, Andrea M via phone (207) 796-2321.

Contact Information

Primary practice address
401 Peter Dana Point Road Princeton ME 04668-0097
Phone: (207) 796-2321
Fax: (207) 796-2422
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Andrea M
Phone: (207) 796-2321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001209 Maine

Profile Details

NPI number 1619005493
LBN Legal business name Indian Township Tribal Government
DBA Doing business as Passamaquoddy Health Center
Authorized official Hanson, Andrea M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 1st, 2007
Last updated Sep 28th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619005493 NPPES
Maine MEDICAID 107940100
Maine Other 200544

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