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Contact Information

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
3555 LUTHERAN PKWY STE 380
WHEAT RIDGE, CO80033-6023
 Phone: 303-403-6450
 Fax: 303-403-6087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI # 1831703222
LBN Legal business name INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Authorized official JON MCDANIEL - (VP FINANCE MEDICAL GROUP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/02/2020
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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