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Contact Information

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
12905 W 40TH AVE
SUILTE 505
WHEAT RIDGE, CO80401-2794
 Phone: 303-265-5470
 Fax: 303-325-8516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

NPI # 1134917826
LBN Legal business name INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Authorized official JON MCDANIEL - (VP FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/30/2025
Last updated 04/30/2025 - 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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