SCL HEALTH MEDICAL GROUP - BILLINGS LLC NPI 1235170705

NPI Information

NPI: 1235170705
Provider Name: SCL HEALTH MEDICAL GROUP - BILLINGS, LLC

Doing Business As: INTERMOUNTAIN HEALTH CODY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
424 YELLOWSTONE AVE STE 310
CODY, WY
ZIP 82414
Phone: (307) 578-1800
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SCL HEALTH MEDICAL GROUP - BILLINGS, LLC is a rural health clinic center in Cody, WY. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC NPI is 1235170705. The provider is registered as an organization entity type.
The provider Is Doing Business As Intermountain Health Cody Clinic.

The provider's business location address is:

424 YELLOWSTONE AVE STE 310
CODY, WY
ZIP 82414-310
Phone: (307) 578-1800
Fax: (307) 578-1814

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Of Finance and has the following contact phone number (303) 272-0231.

The CLIA number assigned to this NPI record is 53D0857372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	13258	MONTANA	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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