BROADWATER CLINIC - WALK - IN
NPI 1558971986
General Practice in Billings, MT

Q: What is Scl Health Medical Group - Billings, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 31, 2020CLIA 27D0409695 · Waiver

2019 BROADWATER AVE, BILLINGS, MT 59102(406) 237-8550(406) 237-8565 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Jul 31, 2020 (2 updates tracked since 2020).

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About Broadwater Clinic - Walk - In NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWATER CLINIC - WALK - IN (NPI 1558971986) is a healthcare organization registered as a general practice in Billings, Montana and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1558971986

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSCL HEALTH MEDICAL GROUP - BILLINGS, LLC

Location Address2019 BROADWATER AVEBillings, MT 59102-4810

Mailing Address1233 N 30th StBillings, MT 59101-0127 · (406) 237-7700

Phone(406) 237-8550

Fax(406) 237-8565

Organization SubpartYesParent: Sisters Of Charity Of Leavenworth Health System Inc

Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231

Enumeration DateJuly 31, 2020

Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1558971986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2019 BROADWATER AVE, Billings, MT 59102

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Other Names 1

Doing Business AsBroadwater Clinic - Walk - In

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0409695

Broadwater Clinic Family Medicine · Billings, MT

Active · expires Jul 2, 2028

CLIA Number27D0409695

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2026

Certificate Expiration DateJuly 2, 2028

Laboratory DirectorDr. Bryan R. Blumell

Laboratory Phone(406) 237-5200

Laboratory LocationBroadwater Clinic Family Medicine2019 Broadwater Avenue, Billings, MT 59102

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. VINCENT HEALTHCARE

Clinic/Center