Healthcare Provider Details

I. General information

NPI: 1962566034
Provider Name (Legal Business Name): ROOSEVELT COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CUSTER STREET SUITE A
WOLF POINT MT
59201-1640
US

IV. Provider business mailing address

124 CUSTER ST STE A
WOLF POINT MT
59201-1640
US

V. Phone/Fax

Practice location:
  • Phone: 406-653-6223
  • Fax: 406-653-6210
Mailing address:
  • Phone: 406-653-6223
  • Fax: 406-653-6210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: GORDON OELKERS
Title or Position: COUNTY COMMISSIONER - CHAIRMAN
Credential:
Phone: 406-653-6246