TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS (NPI# 1730703984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730703984 |
| Entity Type | Organization |
| Organization Name | TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS |
| Practice Address |
1105 Sheldon Souray Avenue Belcourt ND 58316-0520 |
| Mailing Address |
1105 Sheldon Souray Avenue P.o. Box 520 Belcourt ND 58316-0520 |
| Practice Telephone | 7014773121 |
| Practice Fax Number | 7014778925 |
| Mailing Telephone | 7014773121 |
| Mailing Fax Number | 7014778925 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. JAMIE AZURE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7014772673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 5th Generation Healing Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205243565 | Turtle Mountain Band of Chippewa Indians | Private Vehicle | 4180 Highway 281 W, Belcourt, ND 58316-0900 | 2014-07-18 |
| 1477964757 | Turtle Mountain Band of Chippewa Indians | Case Management | 4051 Hwy 281, Belcourt, ND 58316 | 2014-05-08 |
| 1033724653 | Turtle Mountain Band of Chippewa Indians | Case Management | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316-0900 | 2020-09-10 |
| Street Address |
1105 SHELDON SOURAY AVENUE |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316-0520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979849 | Juliette Marie Cain | Counselor | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-07-22 |
| 1073121372 | Sherry A. Belgarde | Student in an Organized Health Care Education/Training Program | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-07-22 |
| 1124636477 | Courtney Belgarde | Student in an Organized Health Care Education/Training Program | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-07-22 |
| 1265040422 | Darrell C. Charette | Student in an Organized Health Care Education/Training Program | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
| Find all providers in zip 58316 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306308101 | Summit Silver Creek, LLC | Substance Abuse Rehabilitation Facility | 2046 125th Ave, Watford City, ND 58854 | 2019-04-02 |
| 1447736780 | Advance In Recovery, Pllc | Substance Abuse Rehabilitation Facility | 1206 Main St, Carrington, ND 58421-1902 | 2018-07-18 |
| 1003367103 | Medicine Horse Counseling, Pllc | Substance Abuse Rehabilitation Facility | 10435 63rd Ave Ne, Rocklake, ND 58365-9517 | 2016-10-24 |
| 1598079394 | Jessica Ann Brown | Substance Abuse Rehabilitation Facility | 1202 23rd St S, Fargo, ND 58103-2951 | 2010-08-04 |
| 1255656765 | Transitional Living Center Inc | Substance Abuse Rehabilitation Facility | 4399 88th Ave Ne, Devils Lake, ND 58301-8704 | 2010-03-29 |
| 1235452921 | New Beginnings Recovery Center | Substance Abuse Rehabilitation Facility | 693 5th Ave Sw, Dickinson, ND 58601-5808 | 2010-03-09 |
| 1265660187 | West Central Human Service Center | Substance Abuse Rehabilitation Facility | 412 Birchwood Dr, Bismarck, ND 58504-6209 | 2009-06-30 |
| 1356576979 | Sharehouse Genesis | Substance Abuse Rehabilitation Facility | 505 40th St S Unit B, Fargo, ND 58103-1184 | 2009-05-27 |
| 1366681918 | Prairie St. John's, LLC | Substance Abuse Rehabilitation Facility | 510 4th St. South, Fargo, ND 58103 | 2009-02-05 |
| 1437283587 | New Freedom Center | Substance Abuse Rehabilitation Facility | 905 E Interstate Ave, Bismarck, ND 58503-0549 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.