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Contact Information

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
12905 W 40TH AVE, STE 420
WHEAT RIDGE, CO80401
 Phone: 303-265-5670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI Number 1871330100
LBN Legal business name INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Authorized official JON MCDANIEL - (VP FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/12/2024
Last updated 07/12/2024 - 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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