POWDER RIVER COUNTY (NPI# 1851791750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851791750 |
| Entity Type | Organization |
| Organization Name | POWDER RIVER COUNTY |
| Other Organization Name | POWDER RIVER MEDICAL CLINIC |
| Practice Address |
507 North Lincoln Ave Broadus MT 59317-0489 |
| Mailing Address |
Po Box 489 507 North Lincoln Ave Broadus MT 59317-0489 |
| Practice Telephone | 4064362651 |
| Practice Fax Number | 4064362652 |
| Mailing Telephone | 4064362651 |
| Mailing Fax Number | 4064362652 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DAVID RICHARDS (COMMISSIONER) |
| Authorized Official Telephone | 4064362361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| POWDER RIVER MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1386611747 | Powder River County | Physical Therapist | 104 N. Trautman Street, Box 719, Broadus, MT 59317-0719 | 2006-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POWDER RIVER COUNTY COURT HOUSE | Court House Sq, Broadus, MT 59317-0000 |
| Street Address |
507 NORTH LINCOLN AVE |
| City | BROADUS |
| State | MT |
| Zip Code | 59317-0489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
| 1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
| 1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
| 1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
| 1396052379 | Jaci 'k' Jean Phillips | Nurse Practitioner | 507 North Lincoln Avenue, Broadus, MT 59317-0489 | 2010-09-11 |
| 1336572775 | Powder River County District High School | Local Education Agency (LEA) | 500 N Trautman, Broadus, MT 59317-0500 | 2013-08-20 |
| Find all providers in zip 59317 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1306276035 | Lakeside Wellness PC | Clinic/Center | 77 Deer Cr Rd, Suite B, Somers, MT 59932 | 2013-11-15 |
| 1053628859 | Gabert Medical Services, Inc | Clinic/Center | 312 S Adams Ave, Terry, MT 59349-0156 | 2010-09-01 |
| 1154556058 | Garth Chiropractic, P.C. | Clinic/Center | 6475 Hwy 93 S Ste 56, Whitefish, MT 59937-8265 | 2009-05-20 |
| 1619113008 | Pfister Physical Therapy, PC | Clinic/Center | 144 2nd St E, Whitefish, MT 59937-2402 | 2009-01-06 |
| 1598810186 | Blackfoot Valley Medical Services Corporation | Clinic/Center | Highway 200 West, Lincoln, MT 59639 | 2007-01-24 |
| 1043229776 | Fallon Medical Complex Inc | Clinic/Center | 710 Drake Street, Wibaux, MT 59353 | 2006-08-05 |
| 1518902881 | Rose Osteopathic Clinic, Inc. | Clinic/Center | 54699 Hillside Rd, St Ignatius, MT 59865-8915 | 2006-06-19 |
| 1003869710 | Ims, LLC Dba Miles City Medical Clinic | Clinic/Center | 2000 Clark St, Miles City, MT 59301-2726 | 2006-05-17 |
| 1992360614 | Activated Life Chiropractic and Wellness Pllc | Clinic/Center | 1301 12th Ave S Ste 203, Great Falls, MT 59405-4600 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on POWDER RIVER COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.