Intermountain Medical Clinic

LBN: Family Practice Group, P.A.
Intermountain Medical Clinic is an health care organization with primary practice located at 1951 Bench Rd Suite B, Pocatello ID 83201-2073. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Family Practice Group, P.A. can be contacted via phone (208) 238-1000, or through Stranski, Shelly via phone (208) 238-1000.

Contact Information

Primary practice address
1951 Bench Rd Suite B Pocatello ID 83201-2073
Phone: (208) 238-1000
Fax: (238) 238-0009
Website:
Map and Directions
Authorized official contact:
Name: Stranski, Shelly
Phone: (208) 238-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1205869310
LBN Legal business name Family Practice Group, P.A.
DBA Doing business as Intermountain Medical Clinic
Authorized official Stranski, Shelly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated May 28th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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