# SCL HEALTH MEDICAL GROUP-BUTTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Other names:** Boulder Clinic - Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861031122
- **Legal business name:** SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
- **Authorized official:** JON MCDANIEL (VP FINANCE MEDICAL GROUP)
- **Authorized official phone:** (303) 272-0231

## Contact information

- **Practice address:** 214 S MAIN ST, BOULDER, MT 59632-7640
- **Practice address phone:** (406) 225-4201
- **Practice address fax:** (406) 225-9161
- **Mailing address:** 200 S CLARK ST, BUTTE, MT 59701-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2020
- **Last updated:** 01/03/2024