# POWDER RIVER PUBLICHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376606517
- **Authorized official:** MRS. JACI PHILLIPS RN (RN DIRECTOR)
- **Authorized official phone:** (406) 436-2297

## Contact information

- **Practice address:** 507 N. LINCOLN, BROADUS, MT 59317-0210
- **Practice address phone:** (406) 436-2297
- **Practice address fax:** (406) 436-2315
- **Mailing address:** PO BOX 210, 507 N. LINCOLN, BROADUS, MT 59317-0210
- **Mailing address phone:** (406) 436-2297
- **Mailing address fax:** (406) 436-2315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | RN24922 | MT | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/22/2020