Fort Peck Assiniboine And Sioux Tribes

NPI 1760748636 - Community Health Worker - 172V00000X

NPI Details
NPI 1760748636
Enumeration Date 04/05/2012
Last Updated 04/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JACKIE JACKIE
Position TRIBAL OPERATIONS OFFICER
Phone (406) 768-2200
Fax
Practice Location
501 MEDICINE BEAR ROAD
POPLAR MT, 59255, US
Phone (406) 768-2200
Fax
Business Location
501 MEDICINE BEAR ROAD
POPLAR MT, 59255, US
Phone (406) 768-2200
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Fort Peck Assiniboine And Sioux Tribes NPI is 1760748636, taxonomy code is 172V00000X Fort Peck Assiniboine And Sioux Tribes physically located at 501 Medicine Bear Road, Poplar MT, 59255. NPI Number 1033115704 has the healthcare provider type.

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1760748636 NPI number is provided on an as is basis without warranty of any kind. 1760748636 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Peck Assiniboine And Sioux Tribes are for informational purposes only.