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PENOBSCOT INDIAN NATION

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

PENOBSCOT INDIAN NATION
23 WABANAKI WAY
SURRY, ME  04468-1252
 Phone: 207-817-7400
 Fax: 207-817-7452
 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 PENOBSCOT INDIAN NATION

NPI # 1699788356
LBN Legal business name PENOBSCOT INDIAN NATION
Authorized official PATRICIA KNOX NICOLA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 10/11/2016 - About 10 years ago
Identifiers
ME License # PH50000041
ME Medicaid 106520200
Other 2036350 PK
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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