| Powder River Medical Clinic | |
|
507 North Lincoln Ave Box 489 Broadus MT 59317-0489 | |
| (406) 436-2651 | |
| (406) 436-2652 |
| Full Name | Powder River Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 507 North Lincoln Ave, Broadus, Montana |
| Authorized Official Name and Position | Leroy N Biesheuvel (PHYSICIAN'S ASSISTANT) |
| Authorized Official Contact | 4064362651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder River Medical Clinic 507 North Lincoln Ave Box 489 Broadus MT 59317-0489 Ph: (406) 436-2651 | Powder River Medical Clinic 507 North Lincoln Ave Box 489 Broadus MT 59317-0489 Ph: (406) 436-2651 |
| NPI Number | 1265605398 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265605398 | NPI | - | NPPES |
| 90943 | Other | MT | BCBS |
| 0720070 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17 (Montana) | Primary |
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 | |
Powder River Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 North Trautman, Broadus, MT 59317 Phone: 406-436-2646 |