NPI: 1114289980
Provider Name: INTEGRATED MEDICAL SERVICES
Former Legal Business Name: INTERMOUNTAIN SENIOR CARE, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization
Specialization: Adult Health
CLIA Number: 46D2102855
Address:
630 S. 400 E #101
ST GEORGE, UT
ZIP 84770
Phone: (435) 673-9653
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INTEGRATED MEDICAL SERVICES is an adult health nurse practitioner in St George, UT. INTEGRATED MEDICAL SERVICES NPI is 1114289980. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Intermountain Senior Care, Llc.
The provider's business location address is:
630 S. 400 E #101
ST GEORGE, UT
ZIP 84770
Phone: (435) 673-9653
Fax: (435) 673-9008
The provider's authorized official is Cliff Holt .
The authorized official title is Owner and has the following contact phone number (435) 628-8944.
The CLIA number assigned to this NPI record is 46D2102855 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/8/2012 and was last updated on 5/3/2021.