Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PENOBSCOT INDIAN NATION
Active
Organization
PENOBSCOT INDIAN NATION
Active
Other names
PENOBSCOT NATION HEALTH DEPARTMNT
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA KNOX NICOLA (DIRECTOR)
(207) 817-7400
Entity
Organization
Contact information
Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 817-7452
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 817-7452
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PH50000041
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106520200
—
ME
01
—
2036350
PK
—
Enumeration date
08/14/2006
Last updated
10/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up