Culbertson Froid Bainville Healthcare Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10661 Issued in MT

Legal business name

CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION

Doing business as

Roosevelt Memorial Medical Center

Practice address

818 2ND Ave East
Culbertson, MT 59218-0419

Phone

(406) 787-6401

Fax

(406) 787-6461

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other identifiers 2

Other names 1

• Roosevelt Memorial Medical Center Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649374190",
    "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 EAST",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "592180419",
            "telephone_number": "406-787-6401",
            "fax_number": "406-787-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "10661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310557",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000040312",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roosevelt Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 406 RX PLLC (Culbertson Family Pharmacy)
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• Culbertson Froid Bainville Health Care Corporation (Roosevelt Medical Center)
• Culbertson Froid Bainville Health Care Corporation (Roosevelt Medical Center)
• Culbertson Froid Bainville Healthcare Corporation (Roosevelt Medical Clinic)
• Culbertson Pharmacy Inc
• Don Helland, MD
• Jocelyn Marie Klein, NP
• Elizabeth Ellen Kleppen, RN, PA-C

• Skilled Nursing Facility in Culbertson, MT
• Providers in Culbertson, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.