Organization
CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION
Active
Parent organization
CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION
Other names
Roosevelt Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION
Authorized official
MR. JAMASON SCHMIDT (CHIEF EXECUTIVE OFFICER)
(406) 787-6407
Entity
Organization
Contact information
Practice address
818 2ND AVE EAST, CULBERTSON, MT 59218-0110
(406) 787-6400
(406) 787-6473
Mailing address
PO BOX 110, CULBERTSON, MT 59218-0110
(406) 787-6400
(406) 787-6473
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
273977
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000063122
BLUE CROSS BLUE SHIELD
MT
05
—
0720083
—
MT
01
—
DB4867
RAILROAD MEDICARE
MT
01
—
MSF0058618
MONTANA STATE FUND
MT
Enumeration date
08/30/2006
Last updated
01/09/2025
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