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PENOBSCOT NATION HEALTH DEPARTMENT
NPI 1801101993
Clinic/Center in Indian Island, ME

Active since August 12, 2010
23 WABANAKI WAY, INDIAN ISLAND, ME 04468(207) 817-7400(207) 817-7459 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penobscot Nation Health Department NPPES

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

PENOBSCOT NATION HEALTH DEPARTMENT (NPI 1801101993) is a healthcare organization registered as a clinic/center in Indian Island, Maine and active in the NPI registry since August 2010. The organization lists Jill P Macdougall, Intern Director, as its authorized official.

NPPES Registry Identity

NPI1801101993
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePENOBSCOT NATION HEALTH DEPARTMENT
Location Address23 WABANAKI WAYIndian Island, ME 04468-1252
Mailing Address23 Wabanaki WayIndian Island, ME 04468-1252 · (207) 817-7400
Phone(207) 817-7400
Fax(207) 817-7459
Organization SubpartNo
Authorized OfficialJill P MacdougallIntern Director · (207) 817-7404
Enumeration DateAugust 12, 2010
✔ NPI 1801101993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IN · 12011471A
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
23 WABANAKI WAY, Indian Island, ME 04468
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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 Nation Health Department's NPI number?

The NPI number for Penobscot Nation Health Department is 1801101993. It was assigned to this organization in the NPPES registry on August 12, 2010.

Where is Penobscot Nation Health Department located?

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

What is Penobscot Nation Health Department's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Penobscot Nation Health Department was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.