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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
MEPH50000041

Other Provider Identifiers:

IssuerNumberStateType
PK203635001
106520200ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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