| Powder River County | |
|
507 North Lincoln Avenue Broadus MT 59317-0489 | |
| (406) 436-2651 | |
| (406) 436-2652 |
| Full Name | Powder River County |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 507 North Lincoln Avenue, Broadus, Montana |
| Authorized Official Name and Position | Vikki J Klemm (OFFICE MANAGER/BUSINESS OPERATIONS) |
| Authorized Official Contact | 4064362651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder River County Po Box 489 Broadus MT 59317-0489 Ph: (406) 436-2651 | Powder River County 507 North Lincoln Avenue Broadus MT 59317-0489 Ph: (406) 436-2651 |
| NPI Number | 1295319325 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295319325 | NPI | - | NPPES |
| 7171138 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 North Trautman, Broadus, MT 59317 Phone: 406-436-2646 |