NPIMap

Organization Active NPI

Blackfeet Family Wellness Center

  • Community/Behavioral Health Agency
  • Browning, MT
National Provider Identifier
1518201102
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12946 Issued in MT
Legal business name
BLACKFEET FAMILY WELLNESS CENTER
Practice address
210 US Highway 89
Browning, MT 59417-9721
Phone
(406) 338-5180
Fax
(406) 338-5660
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Crystal R Evans, PHD
Title
Director
Phone
(406) 338-5180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 12946 MT
Community/Behavioral Health Agency 251S00000X 12946 MT Primary

Addresses

Primary practice location

210 US Highway 89
Browning, MT 59417-9721

Mailing address

210 US Highway 89
Browning, MT 59417-9721
Phone (406) 338-5180

National Provider Directory

National Provider Directory
Tax ID family
Blackfeeet Transit Program6 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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1518201102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 US HIGHWAY 89",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "594179721",
            "telephone_number": "406-338-5180",
            "fax_number": "406-338-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 US HIGHWAY 89",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "594179721",
            "telephone_number": "406-338-5180",
            "fax_number": "406-338-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKFEET FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-338-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": "12946",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browning, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.