NORTHERN CHEYENNE TRIBE NPI 1568716090

NPI Information

NORTHERN CHEYENNE TRIBE is a federally qualified health center (fqhc) clinic center in Lame Deer, MT. NORTHERN CHEYENNE TRIBE NPI is 1568716090. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Northern Cheyenne Tribal Board Of Health.

The provider's business location address is:

420 NORTH CHEYENNE AVENUE
LAME DEER HEALTH CENTER - BEHAVIOR HEALTH
LAME DEER, MT
ZIP 59043
Phone: (406) 477-4514
Fax: (406) 477-4513

The provider's authorized official is Maria Roundstone .
The authorized official title is Director Of Revenue Enhancement and has the following contact phone number (406) 477-6722.

The CLIA number assigned to this NPI record is 27D2136005 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 4/26/2024.

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:

Other Identifiers

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

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