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INTERMOUNTAIN HEALTHCARE NPI 1427456797


NPI Information

NPI: 1427456797
Provider Name: INTERMOUNTAIN HEALTHCARE
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 46D2229272

Address:
652 S MEDICAL CENTER DR
SUITE 120
ST GEORGE, UT
ZIP 84790
Phone: (435) 251-3600
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INTERMOUNTAIN HEALTHCARE is a sports medicine orthopaedic surgery in St George, UT. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. INTERMOUNTAIN HEALTHCARE NPI is 1427456797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

652 S MEDICAL CENTER DR
SUITE 120
ST GEORGE, UT
ZIP 84790-049
Phone: (435) 251-3600
Fax: (435) 628-4469

The provider's authorized official is Jennifer Lee Terry .
The authorized official title is Athletic Trainer and has the following contact phone number (435) 251-3600.

The CLIA number assigned to this NPI record is 46D2229272 - other - non profit intermountain with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine8207030-4810UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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