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PASSAMAQUODDY TRIBAL COUNCIL

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

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Contact Information

PASSAMAQUODDY TRIBAL COUNCIL
11 BACK RD
PLEASANT POINT, ME  04667-4119
 Phone: 207-853-0644
 Fax: 207-853-6230
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

 332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PASSAMAQUODDY TRIBAL COUNCIL

NPI Number 1366526188
LBN Legal business name PASSAMAQUODDY TRIBAL COUNCIL
Authorized official KIRK ALTVATER - (HEALTH CENTER DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/25/2006
Last updated 04/08/2021 - About 5 years ago
Identifiers
ME License # PH50000192
ME Medicaid 107300100
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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