| Powder River County | |
|
507 North Lincoln Ave Broadus MT 59317-0489 | |
| (406) 436-2651 | |
| (406) 436-2652 |
| Full Name | Powder River County |
|---|---|
| Speciality | Clinic/Center |
| Location | 507 North Lincoln Ave, Broadus, Montana |
| Authorized Official Name and Position | Vikki J Klemm (BUSINESS ADMIN) |
| Authorized Official Contact | 4064362651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder River County Po Box 489 507 North Lincoln Ave Broadus MT 59317-0489 Ph: (406) 436-2651 | Powder River County 507 North Lincoln Ave Broadus MT 59317-0489 Ph: (406) 436-2651 |
| NPI Number | 1851791750 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 02/06/2025 |
| Medicare PECOS PAC ID | 2860543667 |
|---|---|
| Medicare Enrollment ID | O20141105000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851791750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Jeffry O Lindenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20040218000968 |
| Provider Name | Bryan J Canty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841309515 PECOS PAC ID: 2567359334 Enrollment ID: I20040304000600 |
| Provider Name | Douglas G Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20040304000747 |
| Provider Name | Jonathan P Graeve |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538271507 PECOS PAC ID: 8820986623 Enrollment ID: I20040304000848 |
| Provider Name | Dean A Bruschwein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568482081 PECOS PAC ID: 3375433576 Enrollment ID: I20040319000794 |
| Provider Name | Daniel F Alderman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982666442 PECOS PAC ID: 2769466580 Enrollment ID: I20040617000741 |
| Provider Name | John Scott Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912943978 PECOS PAC ID: 4183603939 Enrollment ID: I20061005000644 |
| Provider Name | John C Sillery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699752709 PECOS PAC ID: 1456389402 Enrollment ID: I20081230000156 |
| Provider Name | David A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306098546 PECOS PAC ID: 0941358584 Enrollment ID: I20090508000150 |
| Provider Name | Zachary M Bland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20090811000627 |
| Provider Name | Jaci J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396052379 PECOS PAC ID: 1052595931 Enrollment ID: I20110419000023 |
| Provider Name | George E Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966858 PECOS PAC ID: 1052464815 Enrollment ID: I20111005000092 |
| Provider Name | Scott R Paulsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538363635 PECOS PAC ID: 2365533783 Enrollment ID: I20120619000059 |
| Provider Name | Jeffrey E Hostetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275561102 PECOS PAC ID: 6406766583 Enrollment ID: I20141217002689 |
| Provider Name | Joshua Delavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20150629003083 |
| Provider Name | Eric J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447561360 PECOS PAC ID: 6002088697 Enrollment ID: I20160729001784 |
| Provider Name | Heather I Gale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023329513 PECOS PAC ID: 6204068174 Enrollment ID: I20170628003349 |
| Provider Name | Sarah Elizabeth Stilwill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20180105001134 |
| Provider Name | Mariah Lei White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871850040 PECOS PAC ID: 2163663162 Enrollment ID: I20180619002909 |
| Provider Name | Sean T Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790102606 PECOS PAC ID: 0143447326 Enrollment ID: I20200602001771 |
| Provider Name | Andrew G Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205872918 PECOS PAC ID: 5193914562 Enrollment ID: I20200731000924 |
| Provider Name | Juan Lozano |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871750604 PECOS PAC ID: 4284873266 Enrollment ID: I20220317001082 |
| Provider Name | Patrick T Noonan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942250204 PECOS PAC ID: 8325930084 Enrollment ID: I20220916000900 |
| Provider Name | Troy B Graybeal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609803162 PECOS PAC ID: 2961767736 Enrollment ID: I20230426000660 |
| Provider Name | Peder Horner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235218942 PECOS PAC ID: 0143398263 Enrollment ID: I20230530002593 |
| Provider Name | Jason Bauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230911000770 |
| Provider Name | Robert Linville |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457593279 PECOS PAC ID: 3375766181 Enrollment ID: I20240318002410 |
Eastern Montana Health Company 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 |