# PASSAMAQUODDY TRIBAL COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sipayik Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902967060
- **Authorized official:** ELIZABETH NEPTUNE (HEALTH DIRECTOR)
- **Authorized official phone:** (207) 853-0644

## Contact information

- **Practice address:** 11 BACK ROAD, PERRY, ME 04667-0351
- **Practice address phone:** (207) 853-0644
- **Practice address fax:** (207) 853-2347
- **Mailing address:** PO BOX 351, PERRY, ME 04667-0351
- **Mailing address phone:** (207) 853-0644
- **Mailing address fax:** (207) 853-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 640 | ME | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 04/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 107300000 | — | ME |