# CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roosevelt Memorial Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649374190
- **Authorized official:** AUDREY STROMBERG (ADMINISTRATOR)
- **Authorized official phone:** (406) 787-6401

## Contact information

- **Practice address:** 818 2ND AVE EAST, CULBERTSON, MT 59218-0419
- **Practice address phone:** (406) 787-6401
- **Practice address fax:** (406) 787-6461
- **Mailing address:** PO BOX 419, CULBERTSON, MT 59218-0419
- **Mailing address phone:** (406) 787-6401
- **Mailing address fax:** (406) 787-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10661 | MT | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000040312 | BLUE CROSS BLUE SHIELD | MT |
| 05 | — | 310557 | — | MT |