TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS (NPI# 1205243565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205243565 |
| Entity Type | Organization |
| Organization Name | TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS |
| Practice Address |
4180 Highway 281 W Belcourt ND 58316-0900 |
| Mailing Address |
Po Box 900 4180 Highway 281 W Belcourt ND 58316-0900 |
| Practice Telephone | 7014772600 |
| Practice Fax Number | 7014772705 |
| Mailing Telephone | 7014772600 |
| Mailing Fax Number | 7014772705 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | MS. TWILA M JEROME (GRANT CLEARINGHOUSE DIRECTOR) |
| Authorized Official Telephone | 7014772648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703984 | Turtle Mountain Band of Chippewa Indians | Substance Abuse Rehabilitation Facility | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-06-03 |
| 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 |
4180 HIGHWAY 281 W |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316-0900 |
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1558749481 | Laurie K Davis | Case Manager/Care Coordinator | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300794 | Heather Leier | Case Manager/Care Coordinator | 101 16th St Sw, Minot, ND 58701-3463 | 2020-09-09 |
| 1659913879 | Christine Lawson | Case Manager/Care Coordinator | 531 W Villard St, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1912549130 | Emily Gran | Case Manager/Care Coordinator | 531 W Villard St Ste 1, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1821639899 | Brooke Peacock | Case Manager/Care Coordinator | 1008 4th Ave, Apt 116, Watford City, ND 58854-5885 | 2019-10-01 |
| 1104467174 | Fallon Kirby Maston | Case Manager/Care Coordinator | 1008 4th Ave Se Apt 116, Watford City, ND 58854-7732 | 2019-10-01 |
| 1942854260 | Johnita Whyte | Case Manager/Care Coordinator | 225 3rd St Se Fl 3, Minot, ND 58701-3958 | 2019-07-25 |
| 1225597750 | Missi Baranko | Case Manager/Care Coordinator | 4758 92nd Ave Sw, Richardton, ND 58652-9710 | 2019-03-14 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
| 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.