Organization
HOULTON BAND OF MALISEET INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J PALM CPC (BUSINESS OFFICE MANAGE)
(207) 532-4229
Entity
Organization
Contact information
Practice address
12 CLOVER CIRCLE, HOULTON, ME 04730
(207) 532-4229
Mailing address
88 BELL RD STE 2, LITTLETON, ME 04730-6704
(207) 532-4229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001175
ANTHEM IDENTIFIER
ME
Enumeration date
10/05/2006
Last updated
04/04/2008
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