| Organization Name: | TURTLE MOUNTAIN BAND OF CHIPPEWA |
| NPI Number: | 1326425943 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BLAINE MALATERRE (ADMINISTRATOR) |
| Mailing Address: | 1023 Chief Little Shell Street Ne Belcourt |
| State: | ND US |
| Postal Code: | 58316 |
| Phone Number: | 7014775696 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2015 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |