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PASSAMAQUODDY HEALTH CENTER
NPI 1205952140
Clinic/Center - Federally Qualified Health Center (FQHC) in Princeton, ME

Active since March 22, 2007CLIA 20D0666670 · Waiver
401 PETER DANA POINT ROAD, PRINCETON, ME 04668(207) 796-2321(207) 796-2422 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, May 17, 2019 (2 updates tracked since 2019).

About Passamaquoddy Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSAMAQUODDY HEALTH CENTER (NPI 1205952140) is a healthcare organization registered as a federally qualified health center (fqhc) in Princeton, Maine and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Andrea M Hanson, Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1205952140
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINDIAN TOWNSHIP TRIBAL GOVERNMENT
Location Address401 PETER DANA POINT ROADPrinceton, ME 04668-0097
Mailing AddressPo Box 97, 401 Peter Dana Point RdPrinceton, ME 04668-0097 · (207) 796-2321 · Fax (207) 796-2422
Phone(207) 796-2321
Fax(207) 796-2422
Organization SubpartYesParent: Passamaquoddy Health Center
Authorized OfficialAndrea M HansonCompliance Specialist · (207) 796-2321
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1205952140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
401 PETER DANA POINT ROAD, Princeton, ME 04668
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Other Names 1

Doing Business AsPassamaquoddy Health Center

Other Identifiers 1

Medicaid107940000ME

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D0666670

Passamaquoddy Health Center · Princeton, ME
Active · expires Sep 5, 2027
CLIA Number20D0666670
Laboratory TypeTribal Health Facility
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorSunee Lovely
Laboratory Phone(207) 796-2321
Laboratory LocationPassamaquoddy Health Center401 Peter Dana Point Road Indian Township, Princeton, ME 04668
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANA ANTHONY JOHNSON DMD
Dentist (General Practice)
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
MS. BARBARA ELIZABETH WHIPPLE
Counselor (Mental Health)
401 PETER DANA POINT ROAD
INDIAN TOWNSHIP, ME 04668
Washington County (207) 796-2321
MICHAEL J DRISCOLL LCPC, LADC, CCS
Counselor (Professional)
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Durable Medical Equipment & Medical Supplies
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
ANGELA S SABATTUS MT
Massage Therapist
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
HEATHER LANE HARRIMAN RDH
Dental Hygienist
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
ROGER PAUL C.A.D.C.
Counselor (Addiction (Substance Use Disorder))
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Pharmacy (Community/Retail Pharmacy)
401 PETER DANA POINT ROAD
PRINCETON, ME 04668
Washington County (207) 796-2321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Township Tribal Government's NPI number?

The NPI number for Indian Township Tribal Government is 1205952140. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Passamaquoddy Health Center.

Where is Indian Township Tribal Government located?

Indian Township Tribal Government is located at 401 Peter Dana Point Road, Princeton, ME 04668. The listed phone number is (207) 796-2321.

What is Indian Township Tribal Government's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Indian Township Tribal Government hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0666670) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indian Township Tribal Government was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.