Organization
NORTHERN CHEYENNE TRIBE
Active
Other names
Northern Cheyenne Tribal Board of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ROUNDSTONE (DIRECTOR OF REVENUE ENHANCEMENT)
(406) 477-6722
Entity
Organization
Contact information
Practice address
420 NORTH CHEYENNE AVENUE, LAME DEER HEALTH CENTER - BEHAVIOR HEALTH, LAME DEER, MT 59043
(406) 477-4514
(406) 477-4513
Mailing address
PO BOX 128, 600 CHEYENNE AVE SOUTH, LAME DEER, MT 59043-0128
(406) 477-6722
(406) 477-8621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321061
—
MT
Enumeration date
11/06/2012
Last updated
04/26/2024
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