| Organization Name: | FT. BELKNAP INDIAN COMMUNITY |
| NPI Number: | 1205041621 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE M. CCOHRAN (PULIC HEALTH NURSING MANAGER) |
| Mailing Address: | R.r. 1, Box 67 Harlem |
| State: | MT US |
| Postal Code: | 595260067 |
| Phone Number: | 4063533155 |
| Fax Number: | 4063533283 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |