Provider Demographics
NPI:1376286633
Name:TURTLE MOUNTAIN RECOVERY CENTER
Entity Type:Organization
Organization Name:TURTLE MOUNTAIN RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELGARDE
Authorized Official - Suffix:
Authorized Official - Credentials:MLS
Authorized Official - Phone:701-477-2671
Mailing Address - Street 1:PO BOX 874
Mailing Address - Street 2:
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-0874
Mailing Address - Country:US
Mailing Address - Phone:701-477-8931
Mailing Address - Fax:
Practice Address - Street 1:340 RED ROAD DRIVE
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316
Practice Address - Country:US
Practice Address - Phone:701-477-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit