INTERMOUNTAIN SPINE AND PAIN CENTER
NPI 1215057955
Clinic/Center - Ambulatory Surgical in Providence, UT

Active since March 29, 2007
286 N GATEWAY DR, PROVIDENCE, UT 84332(435) 753-1600(435) 753-9521 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intermountain Spine And Pain Center NPPES

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

INTERMOUNTAIN SPINE AND PAIN CENTER (NPI 1215057955) is a healthcare organization registered as an ambulatory surgical in Providence, Utah and active in the NPI registry since March 2007. The organization lists Tracey H Kartsone, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1215057955
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTERMOUNTAIN SPINE AND PAIN CENTER
Location Address286 N GATEWAY DRProvidence, UT 84332-9733
Mailing Address274 N Main StLogan, UT 84321-3915 · (435) 753-1600 · Fax (435) 753-9521
Fax(435) 753-9521
Organization SubpartNo
Authorized OfficialTracey H KartsoneAccounts Manager · (435) 753-1600
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1215057955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in UT · 0329116-1204
286 N GATEWAY DR, Providence, UT 84332

Other Providers at the Same Location NPPES 5

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

Pain Medicine (Pain Medicine)
286 N GATEWAY DR
PROVIDENCE, UT 84332
Pain Medicine (Pain Medicine)
286 N GATEWAY DR, STE A
PROVIDENCE, UT 84332
Home Health
286 N GATEWAY DR, STE 101
PROVIDENCE, UT 84332
Hospice Care, Community Based
286 N GATEWAY DR, STE 101
PROVIDENCE, UT 84332
Nurse Practitioner
286 N GATEWAY DR
PROVIDENCE, UT 84332

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 Spine And Pain Center's NPI number?

The NPI number for Intermountain Spine And Pain Center is 1215057955. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Intermountain Spine And Pain Center located?

Intermountain Spine And Pain Center is located at 286 N Gateway Dr, Providence, UT 84332. The listed phone number is (435) 753-1600.

What is Intermountain Spine And Pain Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Intermountain Spine And Pain Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.