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PENOBSCOT NATION HEALTH DEPARTMNT
NPI 1699788356
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Indian Island, ME

Active since August 14, 2006
23 WABANAKI WAY, INDIAN ISLAND, ME 04468(207) 817-7400(207) 817-7452 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2016, Sep 16, 2016 (2 updates tracked since 2016).

About Penobscot Nation Health Departmnt NPPES

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

PENOBSCOT NATION HEALTH DEPARTMNT (NPI 1699788356) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Indian Island, Maine and active in the NPI registry since August 2006. The organization lists Patricia Knox Nicola, Director, as its authorized official.

NPPES Registry Identity

NPI1699788356
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NamePENOBSCOT INDIAN NATION
Location Address23 WABANAKI WAYIndian Island, ME 04468-1252
Mailing Address23 Wabanaki WayIndian Island, ME 04468-1252 · (207) 817-7400 · Fax (207) 817-7452
Phone(207) 817-7400
Fax(207) 817-7452
Organization SubpartNo
Authorized OfficialPatricia Knox NicolaDirector · (207) 817-7400
Enumeration DateAugust 14, 2006
Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration
✔ NPI 1699788356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in ME · PH50000041
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
23 WABANAKI WAY, Indian Island, ME 04468
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Other Names 1

Doing Business AsPenobscot Nation Health Departmnt

Other Identifiers 2

Other2036350Pk
Medicaid106520200ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MS. WINONA ALICE NICOLAR
Pharmacy Technician
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7400
PAUL DEAN FLAGG R.PH.
Pharmacist
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7435
MS. TANYA M MILLER RN
Registered Nurse
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7400
MARGO DOWNING RN
Registered Nurse
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7433
DR. JOHN NMN YASENCHAK ED. D
Counselor
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7400
JESSICA ALICEA-SANTIAGO FNP
Nurse Practitioner (Family)
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7400
MS. DONNA L HARRIS
Dental Hygienist
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 817-7400
CLAUD NEPTUNE LCSW
Social Worker (Clinical)
23 WABANAKI WAY
INDIAN ISLAND, ME 04468
Penobscot County (207) 827-7425

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 Penobscot Indian Nation's NPI number?

The NPI number for Penobscot Indian Nation is 1699788356. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Penobscot Nation Health Departmnt.

Where is Penobscot Indian Nation located?

Penobscot Indian Nation is located at 23 Wabanaki Way, Indian Island, ME 04468. The listed phone number is (207) 817-7400.

What is Penobscot Indian Nation's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Penobscot Indian Nation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 31 other insurers list Penobscot Indian Nation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penobscot Indian Nation was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.