POWDER RIVER MANOR
NPI 1386611747
Skilled Nursing Facility in Broadus, MT

Active since March 03, 2006CLIA 27D0675018 · Waiver
104 N. TRAUTMAN STREET, BOX 719, BROADUS, MT 59317(406) 436-2646(406) 436-2923 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Jun 24, 2021, Jun 15, 2021 and 3 more (6 updates tracked since 2016).

About Powder River Manor NPPES

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

POWDER RIVER MANOR (NPI 1386611747) is a healthcare organization registered as a skilled nursing facility in Broadus, Montana and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kesa Copps, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1386611747
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePOWDER RIVER COUNTY
Location Address104 N. TRAUTMAN STREET, BOX 719Broadus, MT 59317-0719
Mailing AddressPo Box 719, 104 N. TrautmanBroadus, MT 59317-0719 · (406) 436-2646 · Fax (406) 436-2923
Fax(406) 436-2923
Organization SubpartNo
Authorized OfficialKesa CoppsBusiness Office Manager · (406) 436-2646
Enumeration DateMarch 3, 2006
Last NPPES UpdateJuly 8, 20216 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1386611747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MT · 10072
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedPhysical TherapistTaxonomy 225100000X
104 N. TRAUTMAN STREET, Broadus, MT 59317

Other Names 1

Doing Business AsPowder River Manor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 27D0675018

Powder River Manor · Broadus, MT
Active · expires Aug 31, 2026
CLIA Number27D0675018
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTena A. Olson,rn
Laboratory Phone(406) 436-2646
Laboratory LocationPowder River Manor104 North Trautman, 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.

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 1386611747. It was assigned to this organization in the NPPES registry on March 3, 2006. The provider is doing business as Powder River Manor.

Where is Powder River County located?

Powder River County is located at 104 N. Trautman Street Box 719, Broadus, MT 59317. The listed phone number is (406) 436-2646.

What is Powder River County's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Powder River County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0675018) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Powder River County accept?

Health plans from Blue Cross and Blue Shield of Montana and PacificSource Health Plans list Powder River County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Powder River County was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.