Provider Demographics
NPI:1154896744
Name:BLACKFEEET TRANSIT PROGRAM
Entity type:Organization
Organization Name:BLACKFEEET TRANSIT PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN BLACKFEET TRIBE
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-338-7521
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:200 E ROAD
Mailing Address - City:BROWNING
Mailing Address - State:MT
Mailing Address - Zip Code:59417-0850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 E HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-0850
Practice Address - Country:US
Practice Address - Phone:406-338-7342
Practice Address - Fax:406-338-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)