Healthcare Provider Details

I. General information

NPI: 1104732056
Provider Name (Legal Business Name): CEDAR & SAGE HEALTH CLINIC & MEDSPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W BELL ST
GLENDIVE MT
59330-1614
US

IV. Provider business mailing address

1405 E AMES WYE
GLENDIVE MT
59330-2001
US

V. Phone/Fax

Practice location:
  • Phone: 406-939-2048
  • Fax:
Mailing address:
  • Phone: 406-939-2048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA CULVER
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP
Phone: 406-939-2048