1902967060 NPI number — PASSAMAQUODDY TRIBAL COUNCIL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902967060 NPI number — PASSAMAQUODDY TRIBAL COUNCIL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PASSAMAQUODDY TRIBAL COUNCIL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902967060
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 351
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PERRY
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04667-0351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-853-0644
Provider Business Mailing Address Fax Number:
207-853-2347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 BACK ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRY
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04667-0351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-853-0644
Provider Business Practice Location Address Fax Number:
207-853-2347
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEPTUNE
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH DIRECTOR
Authorized Official Telephone Number:
207-853-0644

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  640 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 107300000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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