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NPI Code Detail

MEDICARE: SCL HEALTH MEDICAL GROUP - BILLINGS, LLC

MEDICARE: SCL HEALTH MEDICAL GROUP - BILLINGS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1891494258
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCL HEALTH MEDICAL GROUP - BILLINGS, LLC
Provider Business Mailing Address
First Line : 500 ELDORADO BLVD STE 4300
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-3564
Country : US
Telephone Number : 303-272-0566
Fax Number : 303-272-0390
Provider Business Practice Location Address
First Line : 602 HENRY CHAPPLE ST
Second Line :
City : BILLINGS
State : MT
Zip : 59106-1874
Country : US
Telephone Number : 406-901-2300
Fax Number : 406-206-6162
Authorized Official
Title or Position : VP FINANCE
Name : JON MCDANIEL
Credential :
Telephone Number : 303-272-0231
Provider Enumeration Date : 02/24/2023
Last Update Date : 06/14/2023

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