SCL HEALTH MEDICAL GROUP-BUTTE LLC NPI 1861031122

NPI Information

NPI: 1861031122
Provider Name: SCL HEALTH MEDICAL GROUP-BUTTE LLC

Doing Business As: BOULDER CLINIC - FAMILY MEDICINE

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

Specialization: Rural Health

Address:
214 S MAIN ST
BOULDER, MT
ZIP 59632
Phone: (406) 225-4201
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SCL HEALTH MEDICAL GROUP-BUTTE LLC is a rural health clinic center in Boulder, MT. SCL HEALTH MEDICAL GROUP-BUTTE LLC NPI is 1861031122. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boulder Clinic - Family Medicine.

The provider's business location address is:

214 S MAIN ST
BOULDER, MT
ZIP 59632-640
Phone: (406) 225-4201
Fax: (406) 225-9161

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

The CLIA number assigned to this NPI record is 27D2222233 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/3/2020 and was last updated on 1/3/2024.

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	207Q00000X	Family Medicine				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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