| Intermountain Medical Holding Nevada, Inc. | |
|
1301 W Sunset Rd Ste 110 Henderson NV 89014-6607 | |
| (029) 683-2757 | |
| (702) 968-6154 |
| Full Name | Intermountain Medical Holding Nevada, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1301 W Sunset Rd Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Mitchell Cloward (PRESIDENT) |
| Authorized Official Contact | 4356684929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Medical Holding Nevada, Inc. 1301 W Sunset Rd Ste 110 Henderson NV 89014-6607 Ph: (029) 683-2757 | Intermountain Medical Holding Nevada, Inc. 1301 W Sunset Rd Ste 110 Henderson NV 89014-6607 Ph: (029) 683-2757 |
| NPI Number | 1447014105 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447014105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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