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General NPI Number Information
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NPI Number | 1598802332
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Entity Type | Organization
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Legal Business Name | ROCKY BOY HEALTH CENTER
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 6850 UPPER BOX ELDER RD
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City | BOX ELDER
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State | MT
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Zip | 59521-9073
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Country | US
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Telephone | 406-395-1617
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Fax | 406-395-4408
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Provider Business Mailing Address
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Address Line | 6850 UPPER BOX ELDER RD
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City | BOX ELDER
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State | MT
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Zip | 59521-9073
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Country | US
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Telephone | 406-395-1606
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Fax | 406-395-1827
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. MARTY RAE STIFFARM-ROSETTE
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Credential |
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Telephone | 406-395-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 271808
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License Number State | MT
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