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INTERMOUNTAIN HEALTH CENTER, INC.
NPI 1043039464
Clinic/Center - Multi-Specialty in Tucson, AZ

Active since October 03, 2024CLIA 03D2233066 · Waiver
401 N BONITA AVE FL 2, TUCSON, AZ 85745(520) 721-1887(520) 721-0069 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Intermountain Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN HEALTH CENTER, INC. (NPI 1043039464) is a healthcare organization registered as a multi-specialty in Tucson, Arizona and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Rose M Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1043039464
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINTERMOUNTAIN HEALTH CENTER, INC.
Location Address401 N BONITA AVE FL 2Tucson, AZ 85745-2750
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Phone(520) 721-1887
Fax(520) 721-0069
Organization SubpartNo
Authorized OfficialRose M LopezPresident And Ceo · (520) 721-1887
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1043039464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
401 N BONITA AVE FL 2, Tucson, AZ 85745
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Other Names 1

Other NameIhc Group Biller

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2233066

Intermountain Health Centers-Nogales Clinic · Nogales, AZ
Active · expires Aug 18, 2027
CLIA Number03D2233066
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDr. Lindsey Retterath
Laboratory Phone(520) 721-1887
Laboratory LocationIntermountain Health Centers-Nogales Clinic272 W Viewpoint Dr, Nogales, AZ 85621
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2152330

Intermountain Health Center, Inc · Tucson, AZ
Expired · Aug 6, 2026
CLIA Number03D2152330
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorLindsey Retterath
Laboratory Phone(520) 721-1887
Laboratory LocationIntermountain Health Center, Inc5055 E Broadway Blvd Ste C104, Tucson, AZ 85711
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEHAVIORAL CONSULTATION SERVICES, INC.
Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745
Pima County (520) 721-1887
FAMILY SERVICE AGENCY
Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745
Pima County (520) 721-1887
PINAL HISPANIC COUNCIL INCORPORATED
Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745
Pima County (520) 721-1887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Health Center, Inc.'s NPI number?

The NPI number for Intermountain Health Center, Inc. is 1043039464. It was assigned to this organization in the NPPES registry on October 3, 2024. The provider is also known as IHC Group Biller.

Where is Intermountain Health Center, Inc. located?

Intermountain Health Center, Inc. is located at 401 N Bonita Ave Fl 2, Tucson, AZ 85745. The listed phone number is (520) 721-1887.

What is Intermountain Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Intermountain Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2233066) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Health Center, Inc. was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.