| Organization Name: | PONDERA MEDICAL CENTER |
| NPI Number: | 1669461703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA RIES (CFO) |
| Mailing Address: | 809 Sunset Blvd Conrad |
| State: | MT US |
| Postal Code: | 594251799 |
| Phone Number: | 4062713231 |
| Fax Number: | 4062713576 |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |