Healthcare Provider Details

I. General information

NPI: 1831138593
Provider Name (Legal Business Name): NORTHERN ROCKIES MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 2ND ST SE
CUT BANK MT
59427-3329
US

IV. Provider business mailing address

802 2ND ST SE
CUT BANK MT
59427-3329
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-2251
  • Fax:
Mailing address:
  • Phone: 406-873-2251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number10272
License Number StateMT

VIII. Authorized Official

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