# NORTHERN CHEYENNE BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Cheyenne Tribe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588925572
- **Authorized official:** MR. DAVID ROUNDSTONE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (406) 477-6722

## Contact information

- **Practice address:** 100 CHEYENNE AVENUE, BOX 67, LAME DEER, MT 59043
- **Practice address phone:** (406) 477-6722
- **Practice address fax:** (406) 477-3038
- **Mailing address:** 100 CHEYENNE AVENUE., BOX 67, LAME DEER, MT 59043
- **Mailing address phone:** (406) 477-6722
- **Mailing address fax:** (406) 477-3038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | RN28519 | MT | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012