| Organization Name: | NORTHERN CHEYENNE TRIBE |
| NPI Number: | 1972513638 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL E LARANCE (3RD PARTY BILLING CLERK) |
| Mailing Address: | 22 North Cheyenne Ave Lame Deer |
| State: | MT US |
| Postal Code: | 590430067 |
| Phone Number: | 4064776775 |
| Fax Number: | 4064776083 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 087 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |