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Contact Information

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
476 WILLIAMS WAY
MOAB, UT84532-2186
 Phone: 435-719-5550
 Fax: 435-719-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

NPI # 1346854130
LBN Legal business name INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Authorized official JON MCDANIEL - (VP FINANCE MEDICAL GROUP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/31/2020
Last updated 06/28/2024 - More than a year ago
Identifiers n/a
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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