Organization
NORTHERN CHEYENNE TRIBE
Active
Parent organization
NORTHERN CHEYENNE TRIBE
Other names
Northern Cheyenne Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN CHEYENNE TRIBE
Authorized official
MS. RACHEL E LARANCE (3RD PARTY BILLING CLERK)
(406) 477-4911
Entity
Organization
Contact information
Practice address
22 NORTH CHEYENNE AVE, LAME DEER, MT 59043-0067
(406) 477-6775
(406) 477-6083
Mailing address
22 NORTH CHEYENNE AVE, PO BOX 67, LAME DEER, MT 59043-0067
(406) 477-6775
(406) 477-6083
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
087
MT
3416L0300X
Land Ambulance
087
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011002659
MEDICARE PTAN - NORIDIAN
MT
01
—
0191-2
BLUECROSS BLUESHIELD OF MT
MT
05
—
0445263
—
MT
Enumeration date
08/08/2006
Last updated
02/03/2016
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