Indian Township Tribal Government

NPI #1205952140 in Princeton, Maine

Provider Information

NPI Number: 1205952140
Entity Type: Organization
Organization Name: Indian Township Tribal Government
Subpart: Yes (part of a larger organization)
Parent Organization: PASSAMAQUODDY HEALTH CENTER
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Mar 22, 2007
Last Updated: Sep 28, 2020

Practice Location

Address: 401 PETER DANA POINT ROAD
City: Princeton
State: Maine
ZIP Code: 04668-0097
Phone: (207) 796-2321

Authorized Official

Name: ANDREA M HANSON, TRIBAL CHIEF
Title: COMPLIANCE SPECIALIST
Phone: (207) 796-2321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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