Organization Active NPI

Turtle Mountain Band of Chippewa Indians

  • Case Management Agency
  • Belcourt, ND
National Provider Identifier
1033724653
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS
Doing business as
TM Tribal Aging Agency
Practice address
1023 Chief Little Shell Street NE
Belcourt, ND 58316-0900
Phone
(701) 477-7929
NPI assigned
Sep 10, 2020
Organization subpart
Yes
Parent organization
TURTLE MOUNTAIN BAND OF CHIPPEWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Jay, MPH
Title
Health Educator
Phone
(701) 477-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1023 Chief Little Shell Street NE
Belcourt, ND 58316-0900

Mailing address

PO Box 900
Belcourt, ND 58316-0900
Phone (701) 477-7929

Other names 1

  • TM Tribal Aging Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Turlte Mountain Maternal Child Health Program7 organizations share this tax ID, including this one
Part of
Turlte Mountain Maternal Child Health Program

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1033724653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160900",
            "telephone_number": "701-477-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CHIEF LITTLE SHELL STREET NE",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160900",
            "telephone_number": "701-477-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TURTLE MOUNTAIN BAND OF CHIPPEWA",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "HEALTH EDUCATOR",
        "authorized_official_telephone_number": "701-477-5333",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TM Tribal Aging Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.