Roman M Hendrickson (NPI# 1205823135, PAC ID# 7719884154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1205823135 |
PAC ID by PECOS | 7719884154 |
Professional Enrollment ID | I20031215000718 |
Full Name | Roman M Hendrickson |
Organization Legal Name | RUBY VALLEY HOSPITAL |
Address |
204 E Crofoot St Sheridan MT 59749-7714 |
Phone Number | 4068425453 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE, GERIATRIC MEDICINE |
Group Practice PAC ID | 6406764018 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
271319 | RUBY VALLEY HOSPITAL |
271318 | BARRETT HOSPITAL & HEALTHCARE |
Address | Phone | Organization |
---|---|---|
204 E Crofoot St, Sheridan, MT 59749-7714 | 4068425453 | RUBY VALLEY HOSPITAL |
220 E Crofoot Ln, Sheridan, MT 59749-7714 | RUBY VALLEY HOSPITAL |
Organization Legal Name | RUBY VALLEY HOSPITAL |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula M Christensen | Nurse Practitioner | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Chris W Hartsfield | Nurse Practitioner | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Molly E Biehl | Family Medicine | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Street Address |
204 E CROFOOT ST |
City | SHERIDAN |
State | MT |
Zip | 59749-7714 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula M Christensen | Nurse Practitioner | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Chris W Hartsfield | Nurse Practitioner | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Molly E Biehl | Family Medicine | Ruby Valley Hospital | 204 E Crofoot St, Sheridan, MT 59749-7714 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tanya R Curtis | Qualified Speech Language Pathologist | 203 S Main St, Sheridan, MT 59749-7740 |
City | SHERIDAN |
Zip Code | 59749 |
Specialty | FAMILY MEDICINE |
City + Specialty | SHERIDAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roman M Hendrickson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.