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POWDER RIVER COUNTY
NPI 1104495720
Ambulance - Land Transport in Broadus, MT

Active since June 18, 2021CLIA 27D2227809 · Waiver
201 E HOLT ST, BROADUS, MT 59317(406) 436-2361(406) 436-2151 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Jun 18, 2021 (2 updates tracked since 2021).

About Powder River County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWDER RIVER COUNTY (NPI 1104495720) is a healthcare organization registered as a land transport in Broadus, Montana and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Adam W Johnson, Director Of Ems, as its authorized official.

NPPES Registry Identity

NPI1104495720
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePOWDER RIVER COUNTY
Location Address201 E HOLT STBroadus, MT 59317-9502
Mailing AddressPo Box 200Broadus, MT 59317-0200 · (406) 436-2361
Phone(406) 436-2361
Fax(406) 436-2151
Organization SubpartYes
Authorized OfficialAdam W JohnsonDirector Of Ems · (406) 436-2361
Enumeration DateJune 18, 2021
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1104495720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
201 E HOLT ST, Broadus, MT 59317
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2227809

Powder River County Ems · Broadus, MT
Active · expires Jun 16, 2027
CLIA Number27D2227809
Laboratory TypeAmbulance
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorAdam Johnson
Laboratory Phone(406) 436-2361
Laboratory LocationPowder River County Ems119 N Park, Broadus, MT 59317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
3,473 services34 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
28 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powder River County's NPI number?

The NPI number for Powder River County is 1104495720. It was assigned to this organization in the NPPES registry on June 18, 2021.

Where is Powder River County located?

Powder River County is located at 201 E Holt St, Broadus, MT 59317. The listed phone number is (406) 436-2361.

What is Powder River County's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Powder River County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2227809) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Powder River County was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.