ROSE OSTEOPATHIC CLINIC, INC.


Address: 54699 Hillside Rd, St Ignatius, MT 59865-8915
Phone: 4067450845

ROSE OSTEOPATHIC CLINIC, INC. (NPI# 1518902881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518902881
Entity Type Organization
Organization Name ROSE OSTEOPATHIC CLINIC, INC.
Other Organization Name DEFRESE OSTEOPATHIC CLINIC, INC.
Practice Address 54699 Hillside Rd
St Ignatius
MT 59865-8915
Practice Telephone 4067450845
Practice Fax Number 4062043238
Mailing Telephone 4067450845
Mailing Fax Number 4062043238
Enumeration Date 2006-06-19
Last Update Date 2020-08-20
Authorized Official Name DHARMA ROSE (PRESIDENT)
Authorized Official Telephone 4067450845
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
02001899 IN Ambulatory Health Care Facilities
Y 261QH0100X Clinic/Center
Specialization: Health Service
MED-PHYS-LIC-534 MT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
BCBS MONTANA PROVIDER IDENTIFIER 1518902881 01
IN 200977140A 05
MT 1902842883 05

Other Provider/Organization Names

Other Name Type Code
Defrese Osteopathic Clinic, Inc. Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
7500 Hoover Rd, Indianapolis, IN 462603544 3172548187
9506 Hadway Dr, Indianapolis, IN 462561035 4067450845 4062043238

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619447109 Rose Osteopathic Clinic, Inc. Pharmacy 54699 Hillside Rd, St Ignatius, MT 59865-8915 2018-11-28

Office Location

Street Address 54699 HILLSIDE RD
City ST IGNATIUS
State MT
Zip Code 59865-8915

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619447109 Rose Osteopathic Clinic, Inc. Pharmacy 54699 Hillside Rd, St Ignatius, MT 59865-8915 2018-11-28
1902842883 Dharma Rose Neuromusculoskeletal Medicine & OMM 54699 Hillside Rd, St Ignatius, MT 59865-8915 2006-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366007544 Donald Paul Roberts Counselor 109 First Avenue, St. Ignatius, MT 59865 2019-05-03
1518521657 Maria Grieco Social Worker 76 3rd Ave, St. Ignatius, MT 59865 2019-04-24
1801363239 Julie A. Cross Dental Hygienist 1 Woodscocks Way, St. Ignatius, MT 59865 2018-10-24
1346727468 Shawn Michael Griffith Dentist 1 Woodcocks Way, St. Ignatius, MT 59865 2018-07-21
1063868743 Natasha R. Sinclair Registered Nurse 308 Mission Dr., St. Ignatius, MT 59865 2016-05-11
1487067880 Brenda Ferril Chiropractor 200 Mountain View St, St Ignatius, MT 59865 2014-06-04
1114248648 Suzanne T Cannady Pharmacist #5 4th Ave E, Polson, MT 59865 2010-06-18
1083947055 Sunburst Community Service Foundation, Inc Clinic/Center 109 1st Avenue, St Ignatius, MT 59865 2009-09-09
1396974572 Jennifer Van Wagoner Dentist 35401 Mission Dr, St. Ignatius, MT 59865 2009-07-08
1124211297 Gordon F Duff Gerrish Psychologist 56850 Fish Hatchery Road, St Ignatius, MT 59865 2007-08-22
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1053628859 Gabert Medical Services, Inc Clinic/Center 312 S Adams Ave, Terry, MT 59349-0156 2010-09-01
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1619113008 Pfister Physical Therapy, PC Clinic/Center 144 2nd St E, Whitefish, MT 59937-2402 2009-01-06
1598810186 Blackfoot Valley Medical Services Corporation Clinic/Center Highway 200 West, Lincoln, MT 59639 2007-01-24
1043229776 Fallon Medical Complex Inc Clinic/Center 710 Drake Street, Wibaux, MT 59353 2006-08-05
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Competitor

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City ST IGNATIUS
Zip Code 59865

Improve Information

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Dataset Information

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.

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