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507 North Lincoln Ave Broadus MT 59317-0489 | |
(406) 436-2651 | |
(406) 436-2652 |
Full Name | |
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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 |
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Po Box 489 507 North Lincoln Ave Broadus MT 59317-0489 Ph: (406) 436-2651 | 507 North Lincoln Ave Broadus MT 59317-0489 Ph: (406) 436-2651 |
NPI Number | 1851791750 |
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Provider Enumeration Date | 08/27/2014 |
Last Update Date | 02/06/2025 |
Medicare PECOS PAC ID | 2860543667 |
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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 |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20040218000968 |
Provider Name | Bryan J Canty |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841309515 PECOS PAC ID: 2567359334 Enrollment ID: I20040304000600 |
Provider Name | Douglas G Bell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20040304000747 |
Provider Name | Bruce C Pinkerton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487737136 PECOS PAC ID: 5294623088 Enrollment ID: I20040304000789 |
Provider Name | Jonathan P Graeve |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538271507 PECOS PAC ID: 8820986623 Enrollment ID: I20040304000848 |
Provider Name | David R Lehnherr |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952494585 PECOS PAC ID: 5698663235 Enrollment ID: I20040305001065 |
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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306098546 PECOS PAC ID: 0941358584 Enrollment ID: I20090508000150 |
Provider Name | Zachary M Bland |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20090811000627 |
Provider Name | Jaci J Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396052379 PECOS PAC ID: 1052595931 Enrollment ID: I20110419000023 |
Provider Name | George E Knight |
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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 R 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 |
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 | |