INTEGRATED MEDICAL SERVICES NPI 1114289980

NPI Information

  • NPI: 1114289980
  • Provider Name: INTEGRATED MEDICAL SERVICES
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Former Legal Business Name: INTERMOUNTAIN SENIOR CARE, LLC
  • CLIA Number: 46D1066163
  • Address: 630 S. 400 E #101
    ST GEORGE, UT
    ZIP 84770
  • Phone: (435) 673-9653

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NPI Details

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 46D1066163 - physician office 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.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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