FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH NPI 1205041621

NPI Information

NPI: 1205041621
Provider Name: FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 27D2200553

Address:
656 AGENCY MAIN ST
HARLEM, MT
ZIP 59526
Phone: (406) 353-2525
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FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH is a public health or welfare in Harlem, MT. FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH NPI is 1205041621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

656 AGENCY MAIN ST
HARLEM, MT
ZIP 59526
Phone: (406) 353-2525
Fax: (406) 353-2884

The provider's authorized official is Karen Yazzie .
The authorized official title is Tribal Health Director and has the following contact phone number (406) 353-2525.

The CLIA number assigned to this NPI record is 27D2200553 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC0700X	Psychologist	Clinical	No
2	103TH0004X	Psychologist	Health	No
3	133V00000X	Dietitian, Registered		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	251K00000X	Public Health or Welfare		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0033709	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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