<Unavail>

LBN: Passamaquoddy Tribal Council
<Unavail> is an health care organization with primary practice located at 11 Back Rd , Pleasant Point ME 04667-4119. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Passamaquoddy Tribal Council can be contacted via phone (207) 853-0644, or through Altvater, Kirk via phone (207) 853-5010.

Contact Information

Primary practice address
11 Back Rd Pleasant Point ME 04667-4119
Phone: (207) 853-0644
Fax: (207) 853-6230
Website:
Map and Directions
Authorized official contact:
Name: Altvater, Kirk
Phone: (207) 853-5010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PH50000192 Maine

Profile Details

NPI number 1366526188
LBN Legal business name Passamaquoddy Tribal Council
DBA Doing business as <Unavail>
Authorized official Altvater, Kirk
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Apr 8th, 2021 - 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 1366526188 NPPES
Maine MEDICAID 107300100

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