Organization Name: | NORTH AMERICAN INDIAN ALLIANCE |
NPI Number: | 1154625382 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELBERT EAGLEFEATHERS (EXECUTIVE DIRECTOR) |
Mailing Address: | 55 E Galena St Butte |
State: | MT US |
Postal Code: | 597011703 |
Phone Number: | 4067820461 |
Fax Number: | 4067827435 |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 225-11 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |