ROCKY BOY HEALTH CLINIC (NPI# 1952554578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952554578 |
| Entity Type | Organization |
| Organization Name | ROCKY BOY HEALTH CLINIC |
| Practice Address |
Rr 1 Box 664 Box Elder MT 59521-9797 |
| Mailing Address |
Rr 1 Box 664 Box Elder MONTANA 59521 UM |
| Practice Telephone | 4063954064 |
| Practice Fax Number | 4063954418 |
| Mailing Telephone | 4063954064 |
| Mailing Fax Number | 4063954418 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | MRS. MARY ELAINE CORCORAN (DIABETES COORDINATOR) |
| Authorized Official Telephone | 4063954064 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
RN20314 | MT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801115704 | Rocky Boy Health Clinic | Clinic/Center | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2010-05-18 |
| Street Address |
RR 1 BOX 664 |
| City | BOX ELDER |
| State | MT |
| Zip Code | 59521-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275543225 | William Edward Thomas | Optometrist | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2006-08-09 |
| 1619306040 | Crissa Oliva | Emergency Medical Technician, Basic | Rr 1 Box 664, Clinic Road, Box Elder, MT 59521-9797 | 2013-11-06 |
| 1295164663 | Melissa Ruth Swan | Emergency Medical Technician, Basic | Rr 1 Box 664, Clinic Road, Box Elder, MT 59521-9797 | 2013-11-06 |
| 1497010060 | Amy Lois Brown | Dental Hygienist | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2012-07-10 |
| 1982979514 | Lorrie Keller | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2012-03-15 |
| 1750656419 | Jamie Marie Oats-swan | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2012-03-14 |
| 1013206218 | Sheri Sherburne Bruington | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2011-03-29 |
| 1154628956 | Kelly Ann Lawson | Dental Hygienist | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2011-02-15 |
| 1801115704 | Rocky Boy Health Clinic | Clinic/Center | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2010-05-18 |
| 1588802771 | Tamra Lee Baker | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864218 | Gary Palladino | Pharmacist | 5050 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-26 |
| 1821585209 | Lisa Marie Scheresky O'neil | Registered Nurse | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-04-20 |
| 1437592789 | Nat's Medical Supply | Assisted Living Facility | #74 Chestnut Street, Box Elder, MT 59521 | 2013-04-16 |
| 1215585294 | Kathleen Audrey Parsons | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-09-03 |
| 1962054957 | Chettha Paul Techo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-10 |
| 1194219253 | Hilary Rose Warren | Dentist | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-06-21 |
| 1114461928 | Carol Jean Ortman | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2016-12-13 |
| 1225413545 | Kevin Zoren | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-07-28 |
| 1194111278 | Angi M Disalvo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-04-15 |
| 1245441120 | Rocky Boy Health Board Clinic | Clinic/Center | Rr 1, Box Elder, MT 59521 | 2007-05-24 |
| Find all providers in zip 59521 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1811371917 | Randy J. Lovell, Do, II, PC | Clinic/Center | 341 Hwy135, Saint Regis, MT 59866-0176 | 2015-07-17 |
| 1639552235 | East Lakeside Clinic | Clinic/Center | 7935 Mt Highway 35 Ste 201, Bigfork, MT 59911-5711 | 2015-07-01 |
| 1831571074 | North Valley Hospital | Clinic/Center | 26 Kintla Way, Kalispell, MT 59901-6871 | 2015-06-24 |
| 1154664274 | River Valley Clinic, PC | Clinic/Center | 813 S Central Ave, Sidney, MT 59270-4940 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
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| 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.