# TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205243565
- **Authorized official:** MS. TWILA M JEROME (GRANT CLEARINGHOUSE DIRECTOR)
- **Authorized official phone:** (701) 477-2648

## Contact information

- **Practice address:** 4180 HIGHWAY 281 W, BELCOURT, ND 58316-0900
- **Practice address phone:** (701) 477-2600
- **Practice address fax:** (701) 477-2705
- **Mailing address:** PO BOX 900, 4180 HIGHWAY 281 W, BELCOURT, ND 58316-0900
- **Mailing address phone:** (701) 477-2600
- **Mailing address fax:** (701) 477-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2014
- **Last updated:** 07/18/2014