Rocky Boy Health Center | |
6850 Upper Box Elder Rd Box Elder MT 59521-9073 | |
(406) 395-1617 | |
(406) 395-4408 |
Full Name | Rocky Boy Health Center |
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Speciality | Clinic/Center |
Location | 6850 Upper Box Elder Rd, Box Elder, Montana |
Authorized Official Name and Position | Teresa Heston (APPLICATIONS COORDINATOR) |
Authorized Official Contact | 4063954486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rocky Boy Health Center 6850 Upper Box Elder Rd Box Elder MT 59521-9073 Ph: (406) 395-1617 | Rocky Boy Health Center 6850 Upper Box Elder Rd Box Elder MT 59521-9073 Ph: (406) 395-1617 |
NPI Number | 1598802332 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 4082508122 |
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Medicare Enrollment ID | O20050125001129 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598802332 | NPI | - | NPPES |
630500 | Medicaid | MT | |
2210091 | Medicaid | MT | |
2706402 | Other | MT | NCPDP |
449254 | Medicaid | MT | |
520351 | Medicaid | MT | |
4709705 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 271808 (Montana) | Primary |
344600000X | Taxi | (* (Not Available)) | Secondary |
Provider Name | Janice L Nystrom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619190519 PECOS PAC ID: 7012967896 Enrollment ID: I20050128000810 |
Provider Name | Andrew T Mccoy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639321185 PECOS PAC ID: 6103981469 Enrollment ID: I20091005000293 |
Provider Name | Shannon Crossler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700091006 PECOS PAC ID: 2062734965 Enrollment ID: I20141204000030 |
Provider Name | David Anthony Stock |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558385948 PECOS PAC ID: 5698761864 Enrollment ID: I20170927004425 |
Provider Name | Svetlana Yakov |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992061618 PECOS PAC ID: 3678723731 Enrollment ID: I20201209001066 |
Provider Name | Gregory Blahnik |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275584484 PECOS PAC ID: 9537224019 Enrollment ID: I20211202001953 |
Provider Name | Jasmine Dao |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1235399312 PECOS PAC ID: 3779754882 Enrollment ID: I20220125001467 |
Provider Name | Michael Melland |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1467588988 PECOS PAC ID: 8527237510 Enrollment ID: I20220125002836 |
Provider Name | Suzette A Blahnik |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619927118 PECOS PAC ID: 1557428174 Enrollment ID: I20220126000294 |
Provider Name | Wendy Courtnage Tilleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487829180 PECOS PAC ID: 4183016025 Enrollment ID: I20220126001535 |
Provider Name | Hilary Rose Warren |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1194219253 PECOS PAC ID: 9638561434 Enrollment ID: I20220127001383 |
Provider Name | Tara Marie Wilkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992333165 PECOS PAC ID: 2062877418 Enrollment ID: I20230508002374 |
Provider Name | Aaron Duncan Sparks |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912244427 PECOS PAC ID: 9638317654 Enrollment ID: I20230515002175 |
Provider Name | Elisabeth Hargrove |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457408866 PECOS PAC ID: 0840583647 Enrollment ID: I20230606001261 |
Provider Name | Matthew Soden |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013258631 PECOS PAC ID: 0941595607 Enrollment ID: I20231114002301 |
Rocky Boy Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 664, Box Elder, MT 59521 Phone: 406-395-4064 Fax: 406-395-4418 |