# EASTERN MONTANA HEALTH COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Powder River Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265605398
- **Authorized official:** LEROY N BIESHEUVEL PA/C (PHYSICIAN'S ASSISTANT)
- **Authorized official phone:** (406) 436-2651

## Contact information

- **Practice address:** 507 NORTH LINCOLN AVE, BOX 489, BROADUS, MT 59317-0489
- **Practice address phone:** (406) 436-2651
- **Practice address fax:** (406) 436-2652
- **Mailing address:** 507 NORTH LINCOLN AVE, BOX 489, BROADUS, MT 59317-0489
- **Mailing address phone:** (406) 436-2651
- **Mailing address fax:** (406) 436-2652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 17 | MT | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008