INTERMOUNTAIN HEATHCARE


Address: 1055 N 300 W, 500, Provo, UT 84604-3344
Phone: 8013577291

INTERMOUNTAIN HEATHCARE (NPI# 1396794277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396794277
Entity Type Organization
Organization Name INTERMOUNTAIN HEATHCARE
Other Organization Name UTAH VALLEY HOSPITALISTS
Practice Address 1055 N 300 W
500
Provo
UT 84604-3344
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013577291
Enumeration Date 2006-05-09
Last Update Date 2020-08-22
Authorized Official Name BRADY GILES (OPERATIONS DIRECTOR)
Authorized Official Telephone 8013572063
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
X 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Utah Valley Hospitalists Doing Business As Name - Organization

Office Location

Street Address 1055 N 300 W
500
City PROVO
State UT
Zip Code 84604-3344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851397491 Paul Ferron Olson Specialist 1055 N 300 W, Ste 204, Provo, UT 84604-3374 2005-06-27
1215351416 Jenny Coy Nurse Practitioner 1055 N 300 W, Ste 401, Provo, UT 84604-3306 2014-02-07
1356682553 Andrea Lee Driggs Nurse Practitioner 1055 N 300 W, Suite 110, Provo, UT 84604-3344 2013-03-13
1003151853 Sharla Morgan Nurse Practitioner 1055 N 300 W, Suite 212, Provo, UT 84604-3344 2012-12-05
1720356538 Ihc Health Services Inc Surgery 1055 N 300 W, Ste 205, Provo, UT 84604-5044 2011-12-07
1053691246 Steven Forsey Audiologist 1055 N 300 W, Ste 401, Provo, UT 84604-3344 2011-08-19
1417241704 Ihc Health Services Inc Psychiatry & Neurology 1055 N 300 W, Ste 501, Provo, UT 84604-3344 2011-06-03
1134435837 George C Gourley, Do Obstetrics & Gynecology 1055 N 300 W, Suite 305, Provo, UT 84604-3344 2010-08-19
1972818185 Joseph Evans Dansie Audiologist 1055 N 300 W, Suite 401, Provo, UT 84604-3344 2010-08-11
1619293552 Charles Brent Stubbs Pharmacist 1055 N 300 W, Suite 201, Provo, UT 84604-3344 2010-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548645195 Michael J Doermann Internal Medicine 395 W Bulldog Blvd Fl 6, Provo, UT 84604-3311 2015-07-24
1639564495 Justin Norman Jones Internal Medicine 395 W Bulldog Blvd Ste 602, Provo, UT 84604 2015-03-30
1417247677 Beau Bailey Internal Medicine 1134 N 500 W Ste 101, Provo, UT 84604-5569 2011-04-08
1720222979 Morris David Gardner Internal Medicine 1784 N. 1450 E., Provo, UT 84604 2009-04-30
1629247358 Chad Brigham Kimball Internal Medicine 1145 Quail Summit Dr, Provo, UT 84604 2008-02-27
1801854021 Kirk R Anderson Internal Medicine 306 River Bend Ln, Provo, UT 84604-5625 2006-05-04
1578079059 Ihc Health Services Inc Internal Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1821520966 Stephanie K Isaacs Internal Medicine 1034 N 500 W, Provo, UT 84604-3380 2017-03-29
1215323399 Zachary John Pugh Internal Medicine 1134 N 500 W, Provo, UT 84604-3383 2015-04-15
1750701561 Mckellan Binkley Internal Medicine 475 W 940 N, Provo, UT 84604-3301 2014-04-18
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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