| Houlton Band Of Maliseet Indians | |
|
12 Clover Circle Houlton ME 04730 | |
| (207) 532-4229 | |
| Not Available |
| Full Name | Houlton Band Of Maliseet Indians |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Clover Circle, Houlton, Maine |
| Authorized Official Name and Position | Pamela J Palm (BUSINESS OFFICE MANAGE) |
| Authorized Official Contact | 2075324229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houlton Band Of Maliseet Indians 88 Bell Rd Ste 2 Littleton ME 04730-6704 Ph: (207) 532-4229 | Houlton Band Of Maliseet Indians 12 Clover Circle Houlton ME 04730 Ph: (207) 532-4229 |
| NPI Number | 1225124050 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 04/04/2008 |
| Medicare PECOS PAC ID | 9436112752 |
|---|---|
| Medicare Enrollment ID | O20041108001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225124050 | NPI | - | NPPES |
| 001175 | Other | ME | ANTHEM IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Susan M Tortello |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265523690 PECOS PAC ID: 6901840792 Enrollment ID: I20050613001005 |
| Provider Name | Linda R Mccord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528283124 PECOS PAC ID: 9335233667 Enrollment ID: I20070918000426 |
| Provider Name | Rosalinda M Maraya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073585626 PECOS PAC ID: 1951468883 Enrollment ID: I20090320000349 |
| Provider Name | Anna M Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518249887 PECOS PAC ID: 6507082500 Enrollment ID: I20140729000274 |
| Provider Name | Julie A Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831410166 PECOS PAC ID: 9032466677 Enrollment ID: I20180727001136 |
| Provider Name | Robert Mike-mayer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952370645 PECOS PAC ID: 0345275939 Enrollment ID: I20211110001173 |
| Provider Name | Bernadette N. Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487014825 PECOS PAC ID: 4880070192 Enrollment ID: I20230516000707 |
| Provider Name | Christine Marie Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225465305 PECOS PAC ID: 7315174174 Enrollment ID: I20240220003703 |
Katahdin Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-528-2285 Fax: 207-528-2880 | |
Houlton Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-5974 | |
Sigrid E Tompkins Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 |