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NPI Code Detail

MEDICARE: NORTH AMERICAN INDIAN ALLIANCE

MEDICARE: NORTH AMERICAN INDIAN ALLIANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1457687162
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH AMERICAN INDIAN ALLIANCE
Provider Business Mailing Address
First Line : 55 E GALENA ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1703
Country : US
Telephone Number : 406-782-0461
Fax Number : 406-782-7435
Provider Business Practice Location Address
First Line : 55 E GALENA ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1703
Country : US
Telephone Number : 406-782-0461
Fax Number : 406-782-7435
Authorized Official
Title or Position : DIRECTOR
Name : MELBERT EAGLEFEATHERS
Credential :
Telephone Number : 406-782-0461
Provider Enumeration Date : 10/30/2009
Last Update Date : 03/05/2015

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Directions to “NORTH AMERICAN INDIAN ALLIANCE ” Practice Location

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