EASTERN MONTANA HEALTH COMPANY (NPI# 1265605398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265605398 |
Entity Type | Organization |
Organization Name | EASTERN MONTANA HEALTH COMPANY |
Other Organization Name | POWDER RIVER MEDICAL CLINIC |
Practice Address |
507 North Lincoln Ave Box 489 Broadus MT 59317-0489 |
Practice Telephone | 4064362651 |
Practice Fax Number | 4064362652 |
Mailing Telephone | 4064362651 |
Mailing Fax Number | 4064362652 |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |
Authorized Official Name | LEROY N BIESHEUVEL (PHYSICIAN'S ASSISTANT) |
Authorized Official Telephone | 4064362651 |
Authorized Official Credential | PA/C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
17 | MT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0720070 | 05 | |
MT | BCBS | 90943 | 01 |
Other Name | Type Code |
---|---|
Powder River Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265582548 | Eastern Montana Health Company | Durable Medical Equipment & Medical Supplies | 2600 Wilson St, Miles City, MT 59301-5094 | 2007-01-11 |
Street Address |
507 NORTH LINCOLN AVE BOX 489 |
City | BROADUS |
State | MT |
Zip Code | 59317-0489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
1851791750 | Powder River County | Clinic/Center | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2014-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
1396052379 | Jaci 'k' Jean Phillips | Nurse Practitioner | 507 North Lincoln Avenue, Broadus, MT 59317-0489 | 2010-09-11 |
1336572775 | Powder River County District High School | Local Education Agency (LEA) | 500 N Trautman, Broadus, MT 59317-0500 | 2013-08-20 |
Find all providers in zip 59317 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.