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Contact Information

INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
2650 N TENAYA WAY STE 201
LAS VEGAS, NV89128
 Phone: 702-735-7154
 Fax: 702-869-8103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.

NPI # 1164541512
LBN Legal business name INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Authorized official MITCH CLOWARD - (REGION PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/28/2007
Last updated 01/14/2025 - More than a year ago
Identifiers
NV Medicaid 1043533383
NV Medicaid 1164541512
NV Medicaid 1245997279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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