| NPI | 1205952140 |
|---|---|
| Doing Business As | PASSAMAQUODDY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA M HANSON Compliance Specialist 207-796-2321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-09-28 |