Healthcare Provider Details

I. General information

NPI: 1568416717
Provider Name (Legal Business Name): NORTHERN ROCKIES MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 9TH AVE SE
CUT BANK MT
59427-3332
US

IV. Provider business mailing address

226 9TH AVE SE
CUT BANK MT
59427-3332
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-5507
  • Fax:
Mailing address:
  • Phone: 406-873-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number10272
License Number StateMT

VIII. Authorized Official

Name: CHERIE TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 406-873-3736