NPIMap

Organization Active NPI

SCL Health Medical Group - Billings, LLC

Doing business as Intermountain Health Bozeman Clinic - Family Medicine

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1841811239
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCL HEALTH MEDICAL GROUP - BILLINGS, LLC
Doing business as
Intermountain Health Bozeman Clinic - Family Medicine
Practice address
711 W Main St
Bozeman, MT 59715-3356
Phone
(406) 556-5888
NPI assigned
Apr 27, 2020
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SCL HEALTH MEDICAL GROUP - MONTANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon McDaniel
Title
VP Finanace Medical Group
Phone
(303) 272-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

711 W Main St
Bozeman, MT 59715-3356

Mailing address

711 W Main St
Bozeman, MT 59715-3356
Phone (406) 556-5888

Other names 1

  • Intermountain Health Bozeman Clinic - Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2178634Intermountain Health Bozeman Midtown Clinic711 West Main St, Bozeman, MT 59715Provider-performed microscopyFeb 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Absarokee Clinic - Family Medicine8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1841811239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153356",
            "telephone_number": "406-556-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153356",
            "telephone_number": "406-556-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCL HEALTH MEDICAL GROUP - BILLINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCL HEALTH MEDICAL GROUP - MONTANA, LLC",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "VP FINANACE  MEDICAL GROUP",
        "authorized_official_telephone_number": "303-272-0231"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Bozeman Clinic - Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.