NPIMap

Organization Active NPI

Fort Belknap Indian Community

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harlem, MT
National Provider Identifier
1902122427
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
901-10 Issued in MT
Legal business name
FORT BELKNAP INDIAN COMMUNITY
Doing business as
Chemical Dependency Center
Practice address
656 Agency Main St
Harlem, MT 59526
Phone
(406) 353-8323
Fax
(406) 353-2276
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Ms. Craig Chandler
Title
Fbic Tribal Health Director
Phone
(406) 353-2525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 901-10 MT Primary
Substance Abuse Rehabilitation Facility 324500000X 902-10 MT
Children's Substance Abuse Rehabilitation Facility 3245S0500X 902-10 MT

Addresses

Primary practice location

656 Agency Main St
Harlem, MT 59526

Mailing address

656 Agency Main St
Harlem, MT 59526-9455
Phone (406) 353-2205

Other identifiers 1

IdentifierTypeStateIssuer
1295943710MedicaidMT

Other names 1

  • Chemical Dependency Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fort Belknap Indian Community Tribal Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1902122427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 AGENCY MAIN ST",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-2205",
            "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": "406-353-8323",
            "fax_number": "406-353-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BELKNAP INDIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "FBIC TRIBAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "406-353-2525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MT",
            "license": "901-10",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MT",
            "license": "902-10",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MT",
            "license": "902-10",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295943710",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chemical Dependency Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chemical Dependency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.