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FORT BELKNAP INDIAN COMMUNITY NPI 1902122427


NPI Information

NPI: 1902122427
Provider Name: FORT BELKNAP INDIAN COMMUNITY

Doing Business As: CHEMICAL DEPENDENCY CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
656 AGENCY MAIN ST
HARLEM, MT
ZIP 59526
Phone: (406) 353-8323
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FORT BELKNAP INDIAN COMMUNITY is a rehabilitation and substance use disorder clinic center in Harlem, MT. FORT BELKNAP INDIAN COMMUNITY NPI is 1902122427. The provider is registered as an organization entity type.
The provider Is Doing Business As Chemical Dependency Center.

The provider's business location address is:

656 AGENCY MAIN ST
HARLEM, MT
ZIP 59526
Phone: (406) 353-8323
Fax: (406) 353-2276

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

The enumeration date for this NPI number is 4/8/2010 and was last updated on 5/18/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder901-10MONTANAYes
2324500000XSubstance Abuse Rehabilitation Facility902-10MONTANANo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children902-10MONTANANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11295943710MEDICAIDMONTANA

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: 4/28/2024

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