INDIAN TOWNSHIP TRIBAL GOVERNMENT (NPI# 1215111026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215111026 |
| Entity Type | Organization |
| Organization Name | INDIAN TOWNSHIP TRIBAL GOVERNMENT |
| Other Organization Name | PASSAMAQUODDY HEALTH CENTER |
| Practice Address |
401 Peter Dana Point Road Princeton ME 04668-0097 |
| Mailing Address |
Po Box 97 Princeton ME 04668-0097 |
| Practice Telephone | 2077962321 |
| Practice Fax Number | 2077962422 |
| Mailing Telephone | 2077962321 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MRS. ANDREA M HANSON (COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 2077962321 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIAN TOWNSHIP TRIBAL GOVERNMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PH50001209 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107940100 | 05 |
| Other Name | Type Code |
|---|---|
| PASSAMAQUODDY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346363009 | Indian Township Tribal Government | Ambulance | 443 Us Route 1, Princeton, ME 04668 | 2007-04-09 |
| 1205952140 | Indian Township Tribal Government | Clinic/Center | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-03-22 |
| 1619005493 | Indian Township Tribal Government | Pharmacy | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIAN TOWNSHIP TRIBAL GOVERNMENT | Rr 1, Princeton, ME 04668-9801 |
| Street Address |
401 PETER DANA POINT ROAD |
| City | PRINCETON |
| State | ME |
| Zip Code | 04668-0097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033281563 | Dana Anthony Johnson | Dentist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2006-11-13 |
| 1770078966 | Stephanie Whitaker | Registered Nurse | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2018-06-29 |
| 1689187544 | Carol Francis | Registered Nurse | 401 Peter Dana Point Road, Princeton, ME 04668 | 2017-11-14 |
| 1245743434 | Angela S Sabattus | Massage Therapist | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2017-11-09 |
| 1831548437 | Merlin J Francis | Nurse Practitioner | 401 Peter Dana Point Road, Princeton, ME 04668 | 2016-06-06 |
| 1285868042 | Heather Lane Harriman | Dental Hygienist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2009-05-08 |
| 1144489634 | Michael J Driscoll | Counselor | 401 Peter Dana Point Road, Princeton, ME 04668 | 2008-06-09 |
| 1508038639 | Sunee Ranae Lovely | Family Medicine | 401 Peter Dana Point Road, Princeton, ME 87571 | 2008-03-28 |
| 1467643684 | Karen E Davis | Nurse Practitioner | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-08-05 |
| 1568653673 | Roger Paul | Counselor | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740500255 | Jessica N Caraballo | Counselor | 401 Peter Dana Point Rd, Princeton, ME 04668 | 2010-06-07 |
| 1346363009 | Indian Township Tribal Government | Ambulance | 443 Us Route 1, Princeton, ME 04668 | 2007-04-09 |
| 1689747479 | Patricia Jean Todd-lewis | Social Worker | 1 Newell Drive, Princeton, ME 04668 | 2006-11-17 |
| 1043382658 | Mary C Repole | Dental Hygienist | 401 Peter Dana Point Rd., Princeton, ME 04668 | 2006-11-15 |
| 1013096627 | Truman L Gillette | Pharmacist | 401 Peter Dana Point, Princeton, ME 04668 | 2006-11-03 |
| 1366671745 | Bonnie G Carter | Specialist | 108 Mill St, Princeton, ME 04668-3344 | 2009-07-07 |
| 1831174614 | St Croix Regional Family Health Center | Clinic/Center | 136 Mill St, Princeton, ME 04668-3344 | 2005-12-14 |
| 1780283432 | Malinda Helen Mcevoy | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2020-10-23 |
| 1710456439 | Phylicia Joanne Bonavida | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2018-11-26 |
| 1952826042 | Beth Ingersoll | Registered Nurse | 136 Mill St, Princeton, ME 04668-3344 | 2017-08-09 |
| Find all providers in zip 04668 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234546 | Associated Retinal Consultants, LLC | Durable Medical Equipment & Medical Supplies | 100 Canal Pointe Blvd Ste 100, Princeton, NJ 08540-7123 | 2020-04-24 |
| 1871157644 | Evercare Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 21748 Us Highway 65, Princeton, MO 64673-7865 | 2019-04-27 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1487191508 | Nephatari Ford | Durable Medical Equipment & Medical Supplies | 24801 Sw 130th Ave Apt 205, Princeton, FL 33032-4095 | 2017-01-26 |
| 1982064374 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 701 W Princeton Dr, Princeton, TX 75407-9002 | 2016-02-29 |
| 1306261011 | Massey's Medical Supplies | Durable Medical Equipment & Medical Supplies | 300 W Princeton Dr Ste 2, Princeton, TX 75407-9709 | 2014-03-04 |
| 1942621156 | A & K Medical Supplies | Durable Medical Equipment & Medical Supplies | 300 W Princeton Dr, Suite 2, Princeton, TX 75407-9710 | 2013-12-16 |
| 1225379308 | Costa Medical | Durable Medical Equipment & Medical Supplies | 32 Nassau St, Suite 300, Princeton, NJ 08542-4503 | 2013-03-14 |
| 1649551557 | Princeton Mobility and Medical Products | Durable Medical Equipment & Medical Supplies | 116 S Rum River Dr, Suite 6b, Princeton, MN 55371-4532 | 2011-09-06 |
| 1346481546 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1915 W Broadway St, Princeton, IN 47670-1095 | 2009-03-18 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.