Eastern Montana Health Company

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

17 Issued in MT

Legal business name

EASTERN MONTANA HEALTH COMPANY

Doing business as

Powder River Medical Clinic

Practice address

507 North Lincoln Ave
Box 489
Broadus, MT 59317-0489

Phone

(406) 436-2651

Fax

(406) 436-2652

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leroy N Biesheuvel, PA/C

Title

Physician's Assistant

Phone

(406) 436-2651

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Powder River Medical Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1265605398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 NORTH LINCOLN AVE",
            "address_2": "BOX 489",
            "city": "BROADUS",
            "state": "MT",
            "postal_code": "593170489",
            "telephone_number": "406-436-2651",
            "fax_number": "406-436-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NORTH LINCOLN AVE",
            "address_2": "BOX 489",
            "city": "BROADUS",
            "state": "MT",
            "postal_code": "593170489",
            "telephone_number": "406-436-2651",
            "fax_number": "406-436-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MONTANA HEALTH COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BIESHEUVEL",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN'S ASSISTANT",
        "authorized_official_telephone_number": "406-436-2651",
        "authorized_official_credential": "PA/C"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MT",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90943",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720070",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powder River Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey M Barnhart, PA-C
• Broadus Foods, Inc (Broadus IGA)
• Kristine M Elgin, PT
• Jesse Ambulance Service (Broadus Truck & Supply)
• Jesse Ambulance Service LLC
• Cressi Johnson, PHD
• Larry's Iga Pharmacy

• Rural Health Clinic/Center in Broadus, MT
• Providers in Broadus, MT by specialty
• Rural Health Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.