Healthcare Provider Details

I. General information

NPI: 1316535032
Provider Name (Legal Business Name): SCL HEALTH MEDICAL GROUP-BUTTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 S CRYSTAL ST STE 400
BUTTE MT
59701-1506
US

IV. Provider business mailing address

435 S CRYSTAL ST
BUTTE MT
59701-1506
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-3400
  • Fax: 406-496-3401
Mailing address:
  • Phone: 406-496-3400
  • Fax: 406-496-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JON MCDANIEL
Title or Position: VP FINANCE MEDICAL GROUP
Credential:
Phone: 303-272-0231