INTERMOUNTAIN MEDICAL GROUP, INC
NPI 1356397673
Family Medicine in Kingston, PA
NPI Status: Active since May 26, 2006
Contact Information
610 WYOMING AVE
KINGSTON, PA
ZIP 18704
Phone: (570) 288-5441
Fax: (570) 288-5842
- Organization
- Family Medicine
- CLIA Number: 39D0978526
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-25-2026
About INTERMOUNTAIN MEDICAL GROUP, INC
This page provides the complete NPI Profile along with additional information for Intermountain Medical Group, Inc, a primary care provider established in Kingston, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1356397673 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Intermountain Medical Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer L Jackson (Senior Director Provider Enrollment)
- NPI
- 1356397673
- Provider Name
- INTERMOUNTAIN MEDICAL GROUP, INC
- Entity Type
- Organization
- Location Address
- 610 WYOMING AVE KINGSTON, PA 18704
- Location Phone
- (570) 288-5441
- Location Fax
- (570) 288-5842
- Mailing Address
- 4000 MERIDIAN BLVD FRANKLIN, TN 37067
- Mailing Phone
- (615) 465-7000
- Mailing Fax
- (570) 288-5842
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2006
- Last Update Date
- 01-25-2022
- Code Navigator
A primary care provider (PCP) like Intermountain Medical Group, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 7 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 8 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 9 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 10 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (PA) |
| 11 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 12 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1624037 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
| 100755627 | MEDICAID (05) | PA | |
| 510820 | OTHER (01) | PW | HIGHMARK BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0978526
- Facility Type
- Physician Office
- Certificate Effective Date
- September 26, 2024
- Certificate Expiration Date
- September 25, 2026
- Laboratory Director
- LOREN A. MANGINO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356397673, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
KINGSTON, PA 18704
KINGSTON, PA 18704
KINGSTON, PA 18704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356397673, enumerated as an "organization" on May 26, 2006.
The provider is located at 610 WYOMING AVE KINGSTON, PA 18704 and the phone number is (570) 288-5441.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Highmark Blue Shield,. Please consult your insurance carrier or call the provider to verify.
