| Powder River Manor | |
|
104 North Trautman Broadus MT 59317 | |
| (406) 436-2646 | |
| Not Available |
| Full Name | Powder River Manor |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 104 North Trautman, Broadus, Montana |
| Authorized Official Name and Position | Karen D Amende (CLERK AND RECORDER) |
| Authorized Official Contact | 4064362657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder River Manor Po Box 200 Broadus MT 59317-0200 Ph: (406) 436-2657 | Powder River Manor 104 North Trautman Broadus MT 59317 Ph: (406) 436-2646 |
| NPI Number | 1801234141 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801234141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Powder River Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 North Lincoln Ave, Box 489, Broadus, MT 59317 Phone: 406-436-2651 Fax: 406-436-2652 | |
Powder River County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 North Lincoln Avenue, Broadus, MT 59317 Phone: 406-436-2651 Fax: 406-436-2652 |