CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION (NPI# 1649374190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649374190 |
| 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 59218-0419 |
| Mailing Address |
Po Box 419 Culbertson MT 59218-0419 |
| Practice Telephone | 4067876401 |
| Practice Fax Number | 4067876461 |
| Mailing Telephone | 4067876401 |
| Mailing Fax Number | 4067876461 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUDREY STROMBERG (ADMINISTRATOR) |
| Authorized Official Telephone | 4067876401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10661 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 0000040312 | 01 |
| MT | 310557 | 05 |
| Other Name | Type Code |
|---|---|
| Roosevelt Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114037744 | Culbertson Froid Bainville Healthcare Corporation | Clinic/Center | 818 2nd Ave East, Culbertson, MT 59218-0110 | 2006-08-30 |
| Street Address |
818 2ND AVE EAST |
| City | CULBERTSON |
| State | MT |
| Zip Code | 59218-0419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114037744 | Culbertson Froid Bainville Healthcare Corporation | Clinic/Center | 818 2nd Ave East, Culbertson, MT 59218-0110 | 2006-08-30 |
| 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 |
| 1174618755 | Elizabeth Ellen Kleppen | Physician Assistant | 818 2nd Avenue East, Culbertson, MT 59218-0110 | 2006-10-03 |
| 1114037744 | Culbertson Froid Bainville Healthcare Corporation | Clinic/Center | 818 2nd Ave East, Culbertson, MT 59218-0110 | 2006-08-30 |
| 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 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
| 1770047581 | Lakeview Assisted Living LLC | Skilled Nursing Facility | 7437 Castle Rock Lake Dr, Colstrip, MT 59323-9533 | 2019-01-25 |
| 1124426283 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17 Th Ave South, Great Falls, MT 59405 | 2014-12-05 |
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1912189572 | Northeast Montana Health Services,inc | Skilled Nursing Facility | 1000 6th Ave N, Wolf Point, MT 59201-1828 | 2007-12-05 |
| 1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1386790160 | Cnh Acquisitions Inc. | Skilled Nursing Facility | 3131 Amherst Ave, Butte, MT 59701-4653 | 2007-01-26 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1538248067 | Blackfeet Tribe | Skilled Nursing Facility | South Government Square, South Government Square, Browning, MT 59417-0728 | 2006-11-03 |
| 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.