PENOBSCOT INDIAN NATION
Medical Equipment Supplier Yellow Pages
Indian Island, Maine
Provider NPI: 1699788356
Organization Information:Organization Name: PENOBSCOT INDIAN NATION
Practice Location:
23 WABANAKI WAY INDIAN ISLAND, ME 04468 US
Tel: 207-817-7400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
23 WABANAKI WAY INDIAN ISLAND, ME 04468 US
Tel: 207-817-7400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332800000X | Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | ME | PH50000041 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2036350 | 01 | |
106520200 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin