Gerry Lynn Eagleman, CNA
Individual provider Active NPI Nurse's Aide · Box Elder, MT
NPI 1013744556 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1013744556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521 - Phone
- (406) 395-4486
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | MT | Yes |
Addresses
Primary practice location
Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521
Mailing address
1804 Haystack Rd
Box Elder, MT 59521-8905
Phone (406) 945-3663
Other practice location 1
1804 Haystack Rd
Box Elder, MT 59521-8905
Phone (406) 945-3663
Other providers in Box Elder, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.