Powder River County
NPI 1386611747ActiveOrganization· Skilled Nursing Facility· Broadus, MT
Skilled Nursing Facility in Broadus, Montana, registered in NPPES in March 2006. The authorized official on file is Kesa Copps, Business Office Manager. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1386611747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2006 |
| Last updated in NPPES | Jul 8, 2021 |
| Certified by provider | Jul 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 10072 | MT |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MT); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MT) |
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