NPIMap

Organization Active NPI

Intermountain Medical Holding Nevada, Inc.

  • Hematology & Oncology Physician
  • Henderson, NV
National Provider Identifier
1992717722
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Practice address
2350 Corporate Cir Ste 100
Henderson, NV 89074-7738
Phone
(702) 968-7210
Fax
(702) 735-7153
NPI assigned
Aug 12, 2006
Organization subpart
Yes
Parent organization
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mitch Cloward
Title
Region President
Phone
(702) 216-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

2350 Corporate Cir Ste 100
Henderson, NV 89074-7738

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other identifiers 3

IdentifierTypeStateIssuer
1992717722MedicaidNV
1245997279MedicaidNV
1043533383MedicaidNV

Other names 3

  • Intermountain Health District Clinic-Hematology Oncology Doing business as
  • Healthcare Partners Medical Group Other name
  • Intermountain Healthcare Other name

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
29D0538774Intermountain Health District Clinic -2350 Corporate Circle Dr Ste 100, Henderson, NV 89074AccreditationOct 9, 2026
29D0857976Intermountain Health District Clinic-Pediatrics2350 Corporate Circle Ste 201, Henderson, NV 89074Certificate of waiverApr 7, 2028

National Provider Directory

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

Other organizations with this tax ID 8

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

Locations

2350 Corporate Cir
Ste 100
Henderson, NV 89074
Phone (702) 968-7210

3006 S Maryland Pkwy
Ste 205
Las Vegas, NV 89109
Phone (702) 731-2341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1992717722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CORPORATE CIR STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747738",
            "telephone_number": "702-968-7210",
            "fax_number": "702-735-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "CLOWARD",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "REGION PRESIDENT",
        "authorized_official_telephone_number": "702-216-3346"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992717722",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245997279",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043533383",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health District Clinic-Hematology Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare Partners Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Healthcare Partners Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Intermountain Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 4, 2026; 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.