Provider Demographics
NPI:1801234141
Name:POWDER RIVER COUNTY
Entity type:Organization
Organization Name:POWDER RIVER COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLERK AND RECORDER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:AMENDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-436-2657
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:BROADUS
Mailing Address - State:MT
Mailing Address - Zip Code:59317-0200
Mailing Address - Country:US
Mailing Address - Phone:406-436-2657
Mailing Address - Fax:
Practice Address - Street 1:104 NORTH TRAUTMAN
Practice Address - Street 2:
Practice Address - City:BROADUS
Practice Address - State:MT
Practice Address - Zip Code:59317
Practice Address - Country:US
Practice Address - Phone:406-436-2646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy