| NPI | 1912723214 |
|---|---|
| Doing Business As | INTERMOUNTAIN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANETTE ROPICKY Certified Coder 208-238-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |