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Organization
TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS
Active
Organization
TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TWILA M JEROME (GRANT CLEARINGHOUSE DIRECTOR)
(701) 477-2648
Entity
Organization
Contact information
Practice address
4180 HIGHWAY 281 W, BELCOURT, ND 58316-0900
(701) 477-2600
(701) 477-2705
Mailing address
PO BOX 900, 4180 HIGHWAY 281 W, BELCOURT, ND 58316-0900
(701) 477-2600
(701) 477-2705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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