INDIAN TOWNSHIP TRIBAL GOVERNMENT (NPI# 1619005493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619005493 |
| 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 97 401 Peter Dana Point Road Princeton ME 04668-0097 |
| Practice Telephone | 2077962321 |
| Practice Fax Number | 2077962422 |
| Mailing Telephone | 2077962321 |
| Mailing Fax Number | 2077962422 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | ANDREA M HANSON (COMPLIANCE SPECIALIST) |
| Authorized Official Telephone | 2077962321 |
| Is Organization Subpart | Y |
| Parent Organization Name | PASSAMAQUODDY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001209 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107940100 | 05 | |
| ME | NABP | 200544 | 01 |
| 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 |
| 1215111026 | Indian Township Tribal Government | Durable Medical Equipment & Medical Supplies | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-12-28 |
| 1205952140 | Indian Township Tribal Government | Clinic/Center | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-03-22 |
| 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 |
| 1215111026 | Indian Township Tribal Government | Durable Medical Equipment & Medical Supplies | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-12-28 |
| 1467643684 | Karen E Davis | Nurse Practitioner | 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699112284 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr # A, Princeton, TX 75407-9607 | 2013-05-23 |
| 1235576877 | Thirumala Group LLC | Pharmacy | 201 E Princeton Dr, Princeton, TX 75407-9005 | 2013-05-22 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1043554504 | Walmart Inc. | Pharmacy | 300 21st Ave N, Princeton, MN 55371-6271 | 2012-11-21 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1396959938 | Princeton Pharmacy, Inc | Pharmacy | 610 N Main Street, Princeton, IL 61356-2006 | 2007-05-10 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1912099516 | New Jersey Cvs Pharmacy LLC | Pharmacy | 881 State Rd # 206, Princeton, NJ 08540-1436 | 2006-09-29 |
| 1366533796 | Hobert Drugs Inc | Pharmacy | 115 N Rum River Dr, Princeton, MN 55371-1616 | 2006-09-28 |
| 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.