NPI | 1669736278 |
---|---|
Doing Business As | INTERMOUNTAIN AT HOME |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Clinical Integration Sr VP 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2012-06-28 |
Last Update Date | 2017-02-24 |