# NORTHERN CHEYENNE TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN CHEYENNE TRIBE
- **Other names:** Northern Cheyenne Ambulance Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972513638
- **Legal business name:** NORTHERN CHEYENNE TRIBE
- **Authorized official:** MS. RACHEL E LARANCE (3RD PARTY BILLING CLERK)
- **Authorized official phone:** (406) 477-4911

## Contact information

- **Practice address:** 22 NORTH CHEYENNE AVE, LAME DEER, MT 59043-0067
- **Practice address phone:** (406) 477-6775
- **Practice address fax:** (406) 477-6083
- **Mailing address:** 22 NORTH CHEYENNE AVE, PO BOX 67, LAME DEER, MT 59043-0067
- **Mailing address phone:** (406) 477-6775
- **Mailing address fax:** (406) 477-6083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 087 | MT | Yes |
| 3416L0300X | Land Ambulance | 087 | MT | — |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 02/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011002659 | MEDICARE PTAN - NORIDIAN | MT |
| 01 | — | 0191-2 | BLUECROSS BLUESHIELD OF MT | MT |
| 05 | — | 0445263 | — | MT |