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INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC NPI 1245997279


NPI Information

NPI: 1245997279
Provider Name: INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC

Doing Business As: INTERMOUNTAIN HEALTHCARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 29D2272302

Address:
595 W LAKE MEAD PKWY
HENDERSON, NV
ZIP 89015
Phone: (702) 566-5500
Get Directions

INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC is an internal medicine in Henderson, NV. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC NPI is 1245997279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intermountain Healthcare.

The provider's business location address is:

595 W LAKE MEAD PKWY
HENDERSON, NV
ZIP 89015-015
Phone: (702) 566-5500

The provider's authorized official is Paul Krakovitz .
The authorized official title is Nevada Region President and has the following contact phone number (702) 932-8550.

The CLIA number assigned to this NPI record is 29D2272302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2021 and was last updated on 5/4/2022.


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
1207RH0003XInternal MedicineHematology & OncologyNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily MedicineNo
5207RG0300XInternal MedicineGeriatric MedicineNo
62085R0001XRadiologyRadiation OncologyNo
7208M00000XHospitalistNo
8207UN0901XNuclear MedicineNuclear CardiologyNo
9207RI0011XInternal MedicineInterventional CardiologyNo
10207RX0202XInternal MedicineMedical OncologyNo
11207V00000XObstetrics & GynecologyNo
12207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryNo
13208000000XPediatricsNo
142081S0010XPhysical Medicine & RehabilitationSports MedicineNo
15207R00000XInternal MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.