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NPI 1114037744

NPI 1114037744 : CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION : CULBERTSON, MT

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General NPI Number Information
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    NPI Number           |    1114037744
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    Entity Type          |    Organization 
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    Legal Business Name  |    CULBERTSON FROID BAINVILLE HEALTHCARE CORPORATION 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    818 2ND AVE EAST 
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    City                 |    CULBERTSON
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    State                |    MT
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    Zip                  |    59218-0110
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    Country              |    US
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    Telephone            |    406-787-6400
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    Fax                  |    406-787-6473
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Provider Business Mailing Address
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    Address Line         |    PO BOX 110 
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    City                 |    CULBERTSON
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    State                |    MT
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    Zip                  |    59218-0110
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    Country              |    US
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    Telephone            |    406-787-6400
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    Fax                  |    406-787-6473
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. JAMASON  SCHMIDT 
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    Credential           |    
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    Telephone            |    406-787-6407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    273977
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    License Number State |    MT
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