NPIMap

Organization Active NPI

Intermountain Medical Holding Nevada, Inc.

  • Primary Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1447014105
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.
Practice address
1301 W Sunset Rd Ste 110
Henderson, NV 89014-6607
Phone
(029) 683-2757
Fax
(702) 968-6154
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
Mitchell Cloward
Title
President
Phone
(435) 668-4929

Specialties & licenses 1

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

Addresses

Primary practice location

1301 W Sunset Rd Ste 110
Henderson, NV 89014-6607

Mailing address

1301 W Sunset Rd Ste 110
Henderson, NV 89014-6607
Phone (029) 683-2757

Other names 1

  • Sunset Station 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
29D2295735Sunset Station Medical Center1301 W Sunset Rd Ste 110, Henderson, NV 89014Certificate of waiverDec 14, 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.

Locations

1301 W Sunset Rd
#110
Henderson, NV 89014
Phone (702) 608-3915

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": "1447014105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W SUNSET RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146607",
            "telephone_number": "029-683-2757",
            "fax_number": "702-968-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W SUNSET RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146607",
            "telephone_number": "029-683-2757",
            "fax_number": "702-968-6154"
        }
    ],
    "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": "MITCHELL",
        "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": "Sunset Station Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, 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.