PENOBSCOT NATION HEALTH DEPARTMENT is a clinic center in Indian Island, ME. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PENOBSCOT NATION HEALTH DEPARTMENT NPI is 1801101993. The provider is registered as an organization entity type.
The provider's business location address is:
23 WABANAKI WAY
INDIAN ISLAND, ME
ZIP 04468-252
Phone: (207) 817-7400
Fax: (207) 817-7459
The provider's authorized official is Jill P Macdougall .
The authorized official title is Intern Director and has the following contact phone number (207) 817-7404.
The CLIA number assigned to this NPI record is 20D0719653 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/12/2010.