27D0652478 CLIA NUMBER - ROOSEVELT MEDICAL CENTER

Laboratory Demographics

CLIA Number: 27D0652478

Facility Name: ROOSEVELT MEDICAL CENTER

Facility Address:
818 2ND AVENUE EAST
CULBERTSON, MT
ZIP 59218
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Facility Phone Number: 406 787-6412

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1497865026

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	27D0652478
LAB Type	Hospital
Facility Name	ROOSEVELT MEDICAL CENTER
Street	818 2ND AVENUE EAST
City	CULBERTSON
State	MT
ZIP	59218
Phone	406 787-6412
CertificateType	2
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024