Healthcare Provider Details

I. General information

NPI: 1881527018
Provider Name (Legal Business Name): BUTTE INDEPENDENT WALK-IN CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 MONROE AVE
BUTTE MT
59701-3820
US

IV. Provider business mailing address

3310 MONROE AVE
BUTTE MT
59701-3820
US

V. Phone/Fax

Practice location:
  • Phone: 360-970-4091
  • Fax:
Mailing address:
  • Phone: 360-970-4091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES R ANDERSON
Title or Position: OWNER
Credential: PA-C
Phone: 360-970-4091