PENOBSCOT INDIAN NATION FINANCE OFFICE; NPI #1639139140

Contact Information

PENOBSCOT INDIAN NATION FINANCE OFFICE

23 WABANAKI WAY
SURRY, ME 04468-1252

Phone: 207-817-7404
Fax: 207-817-7459
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for PENOBSCOT INDIAN NATION FINANCE OFFICE

NPI Number 1639139140

LBN Legal business name PENOBSCOT INDIAN NATION FINANCE OFFICE

Authorized official NICOLE HINES - (ASSISTANT DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/27/2006

Last updated 12/02/2013 - About 13 years ago

Identifiers

ME	License #	201818
ME	Medicaid	106520100

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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