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Organization
CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION
Active
Organization
CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION
Active
Other names
Roosevelt Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY STROMBERG (ADMINISTRATOR)
(406) 787-6401
Entity
Organization
Contact information
Practice address
818 2ND AVE EAST, CULBERTSON, MT 59218-0419
(406) 787-6401
(406) 787-6461
Mailing address
PO BOX 419, CULBERTSON, MT 59218-0419
(406) 787-6401
(406) 787-6461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10661
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040312
BLUE CROSS BLUE SHIELD
MT
05
—
310557
—
MT
Enumeration date
09/12/2006
Last updated
08/22/2020
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