Organization
NORTHERN CHEYENNE TRIBE
Active
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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