POWDER RIVER MEDICAL CLINIC
NPI 1265605398
Clinic/Center - Rural Health in Broadus, MT

Active since April 09, 2008CLIA 27D0409881 · Waiver
507 NORTH LINCOLN AVE, BOX 489, BROADUS, MT 59317(406) 436-2651(406) 436-2652 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Powder River Medical Clinic NPPES

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

POWDER RIVER MEDICAL CLINIC (NPI 1265605398) is a healthcare organization registered as a rural health in Broadus, Montana and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Leroy N Biesheuvel, Physician's Assistant, as its authorized official.

NPPES Registry Identity

NPI1265605398
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEASTERN MONTANA HEALTH COMPANY
Location Address507 NORTH LINCOLN AVE, BOX 489Broadus, MT 59317-0489
Mailing Address507 North Lincoln Ave, Box 489Broadus, MT 59317-0489 · (406) 436-2651 · Fax (406) 436-2652
Fax(406) 436-2652
Organization SubpartNo
Authorized OfficialLeroy N BiesheuvelPhysician's Assistant · (406) 436-2651
Enumeration DateApril 9, 2008
NPI 1265605398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MT · 17
507 NORTH LINCOLN AVE, Broadus, MT 59317

Other Names 1

Doing Business AsPowder River Medical Clinic

Other Identifiers 3

Other90943MT · Bcbs
Medicaid0720070MT
Medicare OSCAR/certification273803NM

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 27D0409881

Powder River Medical Clinic · Broadus, MT
Active · expires Jun 30, 2027
CLIA Number27D0409881
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorMs. Jeffrey E. Hostetter
Laboratory Phone(406) 436-2651
Laboratory LocationPowder River Medical Clinic507 N Lincoln, Broadus, MT 59317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
507 NORTH LINCOLN AVE
BROADUS, MT 59317
Clinic/Center (Health Service)
507 NORTH LINCOLN AVE
BROADUS, MT 59317

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 Eastern Montana Health Company's NPI number?

The NPI number for Eastern Montana Health Company is 1265605398. It was assigned to this organization in the NPPES registry on April 9, 2008. The provider is doing business as Powder River Medical Clinic.

Where is Eastern Montana Health Company located?

Eastern Montana Health Company is located at 507 North Lincoln Ave Box 489, Broadus, MT 59317. The listed phone number is (406) 436-2651.

What is Eastern Montana Health Company's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Eastern Montana Health Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0409881) is associated with this NPI, valid through June 30, 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 Eastern Montana Health Company was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.