Organization
PENOBSCOT NATION HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL P MACDOUGALL (INTERN DIRECTOR)
(207) 817-7404
Entity
Organization
Contact information
Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 817-7459
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12011471A
IN
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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