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BOULDER CLINIC - FAMILY MEDICINE
NPI 1861031122
Clinic/Center - Rural Health in Boulder, MT

Active since January 03, 2020CLIA 27D0410413 · Waiver
214 S MAIN ST, BOULDER, MT 59632(406) 225-4201(406) 225-9161 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Apr 12, 2023, Jan 3, 2020 (3 updates tracked since 2020).

About Boulder Clinic - Family Medicine NPPES

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

BOULDER CLINIC - FAMILY MEDICINE (NPI 1861031122) is a healthcare organization registered as a rural health in Boulder, Montana and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1861031122
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSCL HEALTH MEDICAL GROUP-BUTTE LLC
Location Address214 S MAIN STBoulder, MT 59632-7640
Mailing Address200 S Clark StButte, MT 59701-1500
Phone(406) 225-4201
Fax(406) 225-9161
Organization SubpartYesParent: Sisters Of Charity Of Leavenworth Health System Inc
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateJanuary 3, 2020
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1861031122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
214 S MAIN ST, Boulder, MT 59632
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Other Names 1

Doing Business AsBoulder Clinic - Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

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 27D0410413

Boulder Clinic - Family Medicine · Boulder, MT
Active · expires Jul 9, 2027
CLIA Number27D0410413
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorVeronica J. Champer
Laboratory Phone(406) 225-4201
Laboratory LocationBoulder Clinic - Family Medicine214 South Main Street, Boulder, MT 59632
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ST. JAMES HEALTHCARE
Family Medicine
214 S MAIN ST
BOULDER, MT 59632
Jefferson County (406) 225-4201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scl Health Medical Group-Butte LLC's NPI number?

The NPI number for Scl Health Medical Group-Butte LLC is 1861031122. It was assigned to this organization in the NPPES registry on January 3, 2020. The provider is doing business as Boulder Clinic - Family Medicine.

Where is Scl Health Medical Group-Butte LLC located?

Scl Health Medical Group-Butte LLC is located at 214 S Main St, Boulder, MT 59632. The listed phone number is (406) 225-4201.

What is Scl Health Medical Group-Butte LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Scl Health Medical Group-Butte LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0410413) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scl Health Medical Group-Butte LLC accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Scl Health Medical Group-Butte LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scl Health Medical Group-Butte LLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.