| Roosevelt Memorial Medical Center | |
|
818 2nd Ave East Culbertson MT 59218-0110 | |
| (406) 787-6400 | |
| (406) 787-6473 |
| Full Name | Roosevelt Memorial Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 818 2nd Ave East, Culbertson, Montana |
| Authorized Official Name and Position | Audrey Stromberg (ADMINISTRATOR) |
| Authorized Official Contact | 4067876401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Memorial Medical Center Po Box 110 Culbertson MT 59218-0110 Ph: (406) 787-6400 | Roosevelt Memorial Medical Center 818 2nd Ave East Culbertson MT 59218-0110 Ph: (406) 787-6400 |
| NPI Number | 1114037744 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/16/2017 |
| Medicare PECOS PAC ID | 3173425436 |
|---|---|
| Medicare Enrollment ID | O20060306000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114037744 | NPI | - | NPPES |
| 0720083 | Medicaid | MT | |
| DB4867 | Other | MT | RAILROAD MEDICARE |
| 0000063122 | Other | MT | BLUE CROSS BLUE SHIELD |
| MSF0058618 | Other | MT | MONTANA STATE FUND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 273977 (Montana) | Primary |