Organization
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Active
Organization
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Active
Parent organization
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Other names
PASSAMAQUODDY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Authorized official
MRS. ANDREA M HANSON (COMPLIANCE SPECIALIST)
(207) 796-2321
Entity
Organization
Contact information
Practice address
401 PETER DANA POINT ROAD, PRINCETON, ME 04668-0097
(207) 796-2321
(207) 796-2422
Mailing address
PO BOX 97, PRINCETON, ME 04668-0097
(207) 796-2321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH50001209
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107940100
—
ME
Enumeration date
12/28/2007
Last updated
09/28/2020
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