PASSAMAQUODDY TRIBAL COUNCIL (NPI# 1760474613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760474613 |
| 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 | 2078532347 |
| Mailing Telephone | 2078530644 |
| Mailing Fax Number | 2078532347 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | MR. KIRK J ALTVATER (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 2078535010 |
| Is Organization Subpart | Y |
| Parent Organization Name | PASSAMAQUODDY TRIBAL COUNCIL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107300100 | 05 | |
| ME | 107300200 | 05 | |
| ME | 107300000 | 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 |
| 1366526188 | Passamaquoddy Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2006-10-25 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| 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.