Active NPI
Fort Belknap Indian Community Tribal Health
- Federally Qualified Health Center (FQHC)
- Harlem, MT
National Provider Identifier
1205041621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH
- Practice address
- 656 Agency Main St
Harlem, MT 59526 - Phone
- (406) 353-2525
- Fax
- (406) 353-2884
- NPI assigned
- May 10, 2007
- Last updated
- Sep 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Show
- Title
- Chief Health Officer
- Phone
- (406) 353-3246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | |||
| Health Psychologist | 103TH0004X | |||
| Registered Dietitian | 133V00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
656 Agency Main St
Harlem, MT 59526
Mailing address
656 Agency Main Street
Harlem, MT 59526
Phone (406) 353-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033709 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Fort Belknap Indian Community Tribal Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Harlem, MT
- NPI 1467605592
-
dba Chemical Dependency Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Harlem, MT
- NPI 1902122427
-
- Personal Care Attendant
- Harlem, MT
- NPI 1053282897
Locations
656 Agency Main St
Harlem, MT 59526
Phone (406) 353-2525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Harlem, MT
- NPI 1982144523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1205041621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 AGENCY MAIN STREET",
"city": "HARLEM",
"state": "MT",
"postal_code": "59526",
"telephone_number": "406-353-2525",
"fax_number": "406-353-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 AGENCY MAIN ST",
"city": "HARLEM",
"state": "MT",
"postal_code": "59526",
"telephone_number": "406-353-2525",
"fax_number": "406-353-2884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT BELKNAP INDIAN COMMUNITY TRIBAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "SHOW",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CHIEF HEALTH OFFICER",
"authorized_official_telephone_number": "406-353-3246"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033709",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlem, MT
- Fort Belknap Emergency Medical Services
- Fort Belknap EMS
- Fort Belknap Health Center Pharmacy
- Fort Belknap Indian Community (Chemical Dependency Center)
- Fort Belknap Indian Community Tribal Health
- Kim T Fuzesy, RN
- Jessica Lynn Gallus, RN
- Shauna Beth Gilbert-Azure, RN
- Faith Ann Gone, LAC
- Hilary E Handy, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.