NPIMap

Organization Active NPI

Coe Medical Intermountain PLLC

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1467097071
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COE MEDICAL INTERMOUNTAIN PLLC
Practice address
7101 N Mesa Street #365
Salt Lake City, UT 84101-1603
Phone
(830) 267-4575
Fax
(830) 267-4575
NPI assigned
Nov 7, 2019
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Laura Givens, MDNPI 1902957046
Title
Owner
Phone
(903) 806-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7101 N Mesa Street #365
Salt Lake City, UT 84101-1603

Mailing address

215 W Bandera Rd Ste 114-440
Boerne, TX 78006-3571
Phone (903) 806-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200318001146 UT Part B Supplier - Clinic/Group Practice 2466880851 Receives reassigned benefits from 5 practitioners
Practice locations: St George, UT; Washington, UT; Woods Cross, UT; Cedar City, UT; Clinton, UT; Hurricane, UT; Millcreek, UT; Provo, UT…
O20201215002360 WY Part B Supplier - Clinic/Group Practice 2466880851 Receives reassigned benefits from 6 practitioners
Practice locations: Casper, WY; Douglas, WY; Buffalo, WY; Basin, WY
O20250122000259 MT Part B Supplier - Clinic/Group Practice 2466880851 Receives reassigned benefits from 14 practitioners
Practice locations: Dillon, MT

National Provider Directory

National Provider Directory

Locations

200 N Oregon St
Ste 3624
Dillon, MT 59725

215 W Bandera Rd
Ste 114440
Boerne, TX 78006

45 N 100 W
Ste 210
Hurricane, UT 84737

3995 E 12TH St
Casper, WY 82609

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1467097071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD STE 114-440",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063571",
            "telephone_number": "903-806-4181",
            "fax_number": "830-206-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N MESA STREET #365",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011603",
            "telephone_number": "830-267-4575",
            "fax_number": "830-267-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COE MEDICAL INTERMOUNTAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-806-4181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.