CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION (NPI# 1114037744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114037744 |
| Entity Type | Organization |
| Organization Name | CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION |
| Other Organization Name | ROOSEVELT MEMORIAL MEDICAL CENTER |
| Practice Address |
818 2nd Ave East Culbertson MT 59218-0110 |
| Mailing Address |
Po Box 110 Culbertson MT 59218-0110 |
| Practice Telephone | 4067876400 |
| Practice Fax Number | 4067876473 |
| Mailing Telephone | 4067876400 |
| Mailing Fax Number | 4067876473 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-06-16 |
| Authorized Official Name | AUDREY STROMBERG (ADMINISTRATOR) |
| Authorized Official Telephone | 4067876401 |
| Is Organization Subpart | Y |
| Parent Organization Name | CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
273977 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 0000063122 | 01 |
| MT | 0720083 | 05 | |
| MT | RAILROAD MEDICARE | DB4867 | 01 |
| MT | MONTANA STATE FUND | MSF0058618 | 01 |
| Other Name | Type Code |
|---|---|
| Roosevelt Memorial Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649374190 | Culbertson Froid Bainville Healthcare Corporation | Skilled Nursing Facility | 818 2nd Ave East, Culbertson, MT 59218-0419 | 2006-09-12 |
| Street Address |
818 2ND AVE EAST |
| City | CULBERTSON |
| State | MT |
| Zip Code | 59218-0110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649374190 | Culbertson Froid Bainville Healthcare Corporation | Skilled Nursing Facility | 818 2nd Ave East, Culbertson, MT 59218-0419 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576766 | Bonnie Nickerson | Dental Hygienist | 550 6th Ave N, Wolf Point, MT 59218 | 2015-08-27 |
| 1174618755 | Elizabeth Ellen Kleppen | Physician Assistant | 818 2nd Avenue East, Culbertson, MT 59218-0110 | 2006-10-03 |
| 1811403280 | 406 Rx, Pllc | Pharmacy | 115 Broadway, Culbertson, MT 59218-0311 | 2017-12-21 |
| 1598867939 | Culbertson Pharmacy Inc | Pharmacy | 115 Broadway, Culbertson, MT 59218-0311 | 2006-09-05 |
| 1225052046 | Don Helland | Radiology | 818 2nd Ave E, Culbertson, MT 59218-9346 | 2006-07-26 |
| 1497865026 | Culbertson Froid Bainville Health Care Corporation | Medicare Defined Swing Bed Unit | 818 2nd Ave E, Culbertson, MT 59218-9363 | 2006-08-30 |
| 1598874232 | Culbertson Froid Bainville Health Care Corporation | Ambulance | 818 2nd Ave E, Culbertson, MT 59218-9363 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114228541 | Cheryl Davlin-springer | Dental Hygienist | 37308 Us Highway 34, Culbertson, NE 69024-8270 | 2010-11-17 |
| 1225052046 | Don Helland | Radiology | 818 2nd Ave E, Culbertson, MT 59218-9346 | 2006-07-26 |
| 1487616389 | Culbertson Rescue Squad | Ambulance | 311 Tate St, Culbertson, NE 69024-4009 | 2006-04-05 |
| 1811403280 | 406 Rx, Pllc | Pharmacy | 115 Broadway, Culbertson, MT 59218-0311 | 2017-12-21 |
| 1649374190 | Culbertson Froid Bainville Healthcare Corporation | Skilled Nursing Facility | 818 2nd Ave East, Culbertson, MT 59218-0419 | 2006-09-12 |
| 1598867939 | Culbertson Pharmacy Inc | Pharmacy | 115 Broadway, Culbertson, MT 59218-0311 | 2006-09-05 |
| 1497865026 | Culbertson Froid Bainville Health Care Corporation | Medicare Defined Swing Bed Unit | 818 2nd Ave E, Culbertson, MT 59218-9363 | 2006-08-30 |
| 1598874232 | Culbertson Froid Bainville Health Care Corporation | Ambulance | 818 2nd Ave E, Culbertson, MT 59218-9363 | 2006-08-29 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | CULBERTSON |
| Zip Code | 59218 |
Please comment or provide details below to improve the information on CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION.
| 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.