Organization
PENOBSCOT INDIAN NATION FINANCE OFFICE
Active
Parent organization
PENOBSCOT INDIAN NATION FINANCE OFFICE
Other names
Penobscot Nation Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENOBSCOT INDIAN NATION FINANCE OFFICE
Authorized official
MRS. NICOLE A HINES (ASSISTANT DIRECTOR)
(207) 817-7404
Entity
Organization
Contact information
Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7404
(207) 817-7459
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7404
(207) 817-7459
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
201818
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106520100
—
ME
Enumeration date
03/27/2006
Last updated
12/02/2013
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