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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