| Penobscot Nation Health Department | |
|
23 Wabanaki Way Indian Island ME 04468-1252 | |
| (207) 817-7400 | |
| (207) 817-7459 |
| Full Name | Penobscot Nation Health Department |
|---|---|
| Speciality | Clinic/center |
| Location | 23 Wabanaki Way, Indian Island, Maine |
| Authorized Official Name and Position | Jill P Macdougall (INTERN DIRECTOR) |
| Authorized Official Contact | 2078177404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Nation Health Department 23 Wabanaki Way Indian Island ME 04468-1252 Ph: (207) 817-7400 | Penobscot Nation Health Department 23 Wabanaki Way Indian Island ME 04468-1252 Ph: (207) 817-7400 |
| NPI Number | 1801101993 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801101993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12011471A (Indiana) | Primary |
Penobscot Nation Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 Wabanaki Way, Indian Island, ME 04468 Phone: 207-817-7404 Fax: 207-817-7459 |