PASSAMAQUODDY TRIBAL COUNCIL (NPI# 1902967060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902967060 |
| Entity Type | Organization |
| Organization Name | PASSAMAQUODDY TRIBAL COUNCIL |
| Other Organization Name | SIPAYIK AMBULANCE SERVICE |
| Practice Address |
11 Back Road Perry ME 04667-0351 |
| 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 | 2006-12-13 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | MR. KIRK J ALTVATER (ASSISTANT HEALTH DIRECTOR) |
| Authorized Official Telephone | 2078530644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
640 | ME | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 107300000 | 05 |
| Other Name | Type Code |
|---|---|
| Sipayik Ambulance Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760474613 | Passamaquoddy Tribal Council | Clinic/Center | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2005-08-17 |
| Street Address |
11 BACK ROAD |
| City | PERRY |
| State | ME |
| Zip Code | 04667-0351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1184952285 | Perry Elementary School | Local Education Agency (LEA) | 1587 Us Route 1, Perry, ME 04667-3023 | 2009-12-01 |
| 1932740164 | Rhonda Bowen | Technician | 270 Cannon Hill Rd, Perry, ME 04667-3413 | 2019-09-29 |
| 1720271380 | Ronald S Rosenfeld | Internal Medicine | 281 Birch Point Rd, Perry, ME 04667-3425 | 2007-08-27 |
| 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 |
| Find all providers in zip 04667 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1750384764 | City of Perry | Ambulance | 732 Delaware St, Perry, OK 73077-6425 | 2005-05-23 |
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| 1083074157 | Town of Albion | Ambulance | 15 Benton Road, Albion, ME 04910 | 2016-03-02 |
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| Find all providers with the same taxonomy | ||||
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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.