NPIMap

Organization Active NPI

Three Affiliated Tribes CHR Program

  • Community Health Worker
  • New Town, ND
National Provider Identifier
1487414686
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
THREE AFFILIATED TRIBES CHR PROGRAM
Practice address
1293 Elbowoods Loop Ste 1-0501
New Town, ND 58763-3400
Phone
(701) 627-4340
Fax
(701) 627-4304
NPI assigned
Mar 22, 2024
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Braedyn Taft
Title
Director
Phone
(701) 627-4340

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1293 Elbowoods Loop Ste 1-0501
New Town, ND 58763-3400

Mailing address

307 5TH St N
New Town, ND 58763-4054
Phone (701) 627-4340

National Provider Directory

National Provider Directory
Tax ID family
Mha Nation Home Health Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1293 Elbowoods Loop
Ste 10501
New Town, ND 58763
Phone (701) 627-4340

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1487414686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH ST N",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634054",
            "telephone_number": "701-627-4340",
            "fax_number": "701-627-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 ELBOWOODS LOOP STE 1-0501",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587633400",
            "telephone_number": "701-627-4340",
            "fax_number": "701-627-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE AFFILIATED TRIBES CHR PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "BRAEDYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-627-4340"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.