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 |
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› Verified 9 days ago
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 |