| NPI | 1235170705 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH CODY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Of Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MT 13258) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-08-10 |