NPIMap

Organization Active NPI

Culbertson Froid Bainville Health Care Corporation

Doing business as Roosevelt Medical Center

  • Critical Access Hospital
  • Culbertson, MT
National Provider Identifier
1598874232
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10739 Issued in MT
Legal business name
CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION
Doing business as
Roosevelt Medical Center
Roosevelt Memorial Medical Center
Practice address
818 2ND Ave E
Culbertson, MT 59218-9363
Phone
(406) 787-6401
Fax
(406) 787-6289
NPI assigned
Aug 29, 2006
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Audrey Stromberg
Title
Administrator
Phone
(406) 787-6401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10739 MT Primary
Land Ambulance 3416L0300X 42 MT
Non-emergency Medical Transport (VAN) 343900000X MT

Addresses

Primary practice location

818 2ND Ave E
Culbertson, MT 59218-9363

Mailing address

PO Box 419
Culbertson, MT 59218-0419
Phone (406) 787-6401

Other names 2

  • Roosevelt Medical Center Doing business as
  • Roosevelt Memorial Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040126000761 MT Part B Supplier - Clinic/Group Practice 3173425436 Receives reassigned benefits from 18 practitioners
Practice locations: Culbertson, MT
O20061104000663 MT Part A Provider - Critical Access Hospital 3173425436 Practice locations: Culbertson, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598874232. Details of each certification follow.

Hospital certification: CCN 271308

Legal name
CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION
Doing business as
ROOSEVELT MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 1999
Last certification
Sep 15, 2021
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1976 in MT
Enrollment address
818 2ND Ave E
Culbertson, MT 59218-9363
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Roosevelt Medical CenterCCN 271308 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Larsen Individual Corporate DirectorBoard of Director May 1, 2022 11%
Elizabeth Leinen Individual W-2 Managing EmployeeBusiness Office Manager Sep 1, 2009 100%
Kathleen Thompson Individual Corporate DirectorBoard of Director Jan 1, 2025
Russell Bowker Individual Corporate DirectorBoard of Director Jun 1, 2023 11%
Scott Roth Individual Corporate DirectorBoard of Director Jun 1, 2023 11%
Sharon Schmitz Individual Corporate DirectorTrustee May 31, 2015 9%
Wesley Steppler Individual Corporate DirectorBoard of Director Jun 1, 2023 11%
Jamason Schmidt Individual Corporate OfficerCeo Aug 12, 2024
Troy Green Individual Corporate DirectorBoard of Director Jun 1, 2024 11%
Cassandra Bergum Individual Corporate DirectorBoard of Director May 1, 2022 11%

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1598874232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "592180419",
            "telephone_number": "406-787-6401",
            "fax_number": "406-787-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 2ND AVE E",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "592189363",
            "telephone_number": "406-787-6401",
            "fax_number": "406-787-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-787-6401"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MT",
            "license": "10739",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MT",
            "license": "42",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roosevelt Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roosevelt Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culbertson, MT

Sources for this page

Verify at the official NPI Registry.