NPIMap

Organization Active NPI

Intermountain Medical Holding Nevada, Inc.

Doing business as Red Rock Medical Center

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1285498949
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Doing business as
Red Rock Medical Center
Practice address
11011 W Charleston Blvd Ste 100
Las Vegas, NV 89135-1402
Phone
(702) 968-3250
Fax
(702) 968-6155
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchel Cloward
Title
President
Phone
(435) 668-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11011 W Charleston Blvd Ste 100
Las Vegas, NV 89135-1402

Mailing address

11011 W Charleston Blvd Ste 100
Las Vegas, NV 89135-1402
Phone (702) 968-3250

Other names 1

  • Red Rock Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2295686Red Rock Medical Center11011 W Charleston Blvd Ste 100, Las Vegas, NV 89135Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Medical Holdings Nevada Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1285498949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351402",
            "telephone_number": "702-968-3250",
            "fax_number": "702-968-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351402",
            "telephone_number": "702-968-3250",
            "fax_number": "702-968-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "CLOWARD",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-668-4929"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.