Organization
CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION
Active
Other names
Roosevelt Memorial Medical Center, Roosevelt 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 E, CULBERTSON, MT 59218-9363
(406) 787-6401
(406) 787-6289
Mailing address
PO BOX 419, CULBERTSON, MT 59218-0419
(406) 787-6401
(406) 787-6461
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10739
MT
3416L0300X
Land Ambulance
42
MT
343900000X
Non-emergency Medical Transport (VAN)
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001182
BLUE CROSS BLUE SHIELD
MT
01
—
000009968
CAH MEDICARE PART B
MT
01
—
0520472
MEDICAID TRANSPORT NON-EM
MT
05
—
4106531
—
MT
01
—
442741
MEDICAID - AMBULANCE
MT
01
—
MSF0058616
MONTANA STATE FUND
MT
Enumeration date
08/29/2006
Last updated
12/18/2019
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