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NPI Code Detail

MEDICARE: ROCKY BOY HEALTH CENTER

MEDICARE: ROCKY BOY HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center
2253Z00000XIn Home Supportive Care Agency
3344600000XTaxi
4261QF0400XFederally Qualified Health Center (FQHC)271808MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12706402OTHERMTNCPDP

General Provider Information

NPI Number : 1598802332
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY BOY HEALTH CENTER
Provider Business Mailing Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-1606
Fax Number : 406-395-1827
Provider Business Practice Location Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-1617
Fax Number : 406-395-4408
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : MRS. MARTY RAE STIFFARM-ROSETTE
Credential :
Telephone Number : 406-395-1606
Provider Enumeration Date : 01/31/2007
Last Update Date : 09/16/2025

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Directions to “ROCKY BOY HEALTH CENTER ” Practice Location

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