PASSAMAQUODDY TRIBAL COUNCIL (NPI# 1366526188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366526188 |
| Entity Type | Organization |
| Organization Name | PASSAMAQUODDY TRIBAL COUNCIL |
| Other Organization Name | PLEASANT POINT HEALTH CENTER |
| Practice Address |
11 Back Rd Pleasant Point ME 04667-4119 |
| Mailing Address |
Po Box 351 Perry ME 04667-0351 |
| Practice Telephone | 2078530644 |
| Practice Fax Number | 2078536230 |
| Mailing Telephone | 2078530644 |
| Mailing Fax Number | 2078536230 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | KIRK ALTVATER (HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 2078535010 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLEASANT POINT HEALTH CENTER PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PH50000192 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107300100 | 05 |
| Other Name | Type Code |
|---|---|
| Pleasant Point Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902967060 | Passamaquoddy Tribal Council | Ambulance | 11 Back Road, Perry, ME 04667-0351 | 2006-12-13 |
| 1760474613 | Passamaquoddy Tribal Council | Clinic/Center | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2005-08-17 |
| Street Address |
11 BACK RD |
| City | PLEASANT POINT |
| State | ME |
| Zip Code | 04667-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766404 | Donald Calebaugh | Internal Medicine | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2005-08-02 |
| 1386294809 | Terri Mumme | Nurse Practitioner | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2019-09-17 |
| 1740838341 | Frances Frey | Massage Therapist | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2019-08-28 |
| 1831584036 | Chireen Michelle Bradshaw | Pharmacist | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2015-04-03 |
| 1033527411 | Gwen C Duffield | Nurse Practitioner | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2014-07-29 |
| 1386874162 | Victoria Ganz | Clinical Nurse Specialist | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2009-07-15 |
| 1912149873 | Linda Mae Nicholas | Counselor | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2009-03-24 |
| 1356581789 | Cynthia L Lewey | Home Health Aide | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2009-02-25 |
| 1396985735 | Susan C Neptune | Technician, Pathology | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2009-02-25 |
| 1619113636 | Kathleen Alfreda Majka | Dietitian, Registered | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2008-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528277332 | Edward F. Harris | Dentist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-21 |
| 1285788539 | Batya Zamir-vanburen | Social Worker | 9 Gleason Cove Road, Perry, ME 04667 | 2007-01-23 |
| 1760649065 | Faith Cummings | Nurse's Aide | 11 Back Road, Perry, ME 04667 | 2008-05-22 |
| 1275790966 | Susanne Carroll Duffy | Psychologist | 11 Back Road, Perry, ME 04667 | 2008-05-20 |
| 1447460860 | Cyrilla M Francis | Social Worker | 11 Back Road, Pleasant Point Health Center, Perry, ME 04667 | 2007-05-23 |
| 1790994887 | Annie M Apt-brackett | Registered Nurse | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-22 |
| 1679782767 | Jack F. Martinez | Psychologist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-22 |
| 1457455842 | Michael Frederick Breckinridge | Pharmacist | Rt. 190, Back Rd., Perry, ME 04667-0001 | 2006-09-07 |
| 1902967060 | Passamaquoddy Tribal Council | Ambulance | 11 Back Road, Perry, ME 04667-0351 | 2006-12-13 |
| 1184952285 | Perry Elementary School | Local Education Agency (LEA) | 1587 Us Route 1, Perry, ME 04667-3023 | 2009-12-01 |
| Find all providers in zip 04667 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699788356 | Penobscot Indian Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-08-14 |
| City | PLEASANT POINT |
| Zip Code | 04667 |
Please comment or provide details below to improve the information on PASSAMAQUODDY TRIBAL COUNCIL.
| 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.