Powder River Medical Clinic

LBN: Eastern Montana Health Company
Powder River Medical Clinic is an health care organization with primary practice located at 507 North Lincoln Ave Box 489, Broadus MT 59317-0489. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Eastern Montana Health Company can be contacted via phone (406) 436-2651, or through Biesheuvel, Leroy N via phone (406) 436-2651.

Contact Information

Primary practice address
507 North Lincoln Ave Box 489 Broadus MT 59317-0489
Fax: (406) 436-2652
Website:
Authorized official contact:
Name: Biesheuvel, Leroy N PA/C

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 17 Montana

Profile Details

NPI number 1265605398
LBN Legal business name Eastern Montana Health Company
DBA Doing business as Powder River Medical Clinic
Authorized official Biesheuvel, Leroy N PA/C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265605398 NPPES
Montana Other 90943 BCBS
Montana MEDICAID 0720070 BCBS

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