Wampanoag Tribe of Gay Head Aquinnah
NPI #1023187721 in Aquinnah, Massachusetts
Provider Information
- NPI Number
- 1023187721
- Entity Type
- Organization
- Organization Name
- Wampanoag Tribe of Gay Head Aquinnah
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 20 BLACK BROOK RD
- City
- Aquinnah
- State
- Massachusetts
- ZIP Code
- 02535-1546
- Phone
- (508) 645-9265
Authorized Official
- Name
- MR. RON MACLAREN
- Title
- HEALTH DIRECTOR
- Phone
- (508) 645-9265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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