1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Clinic Center
  6. NPI Profile

INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
NPI 1528822194
Clinic/Center - Primary Care in Las Vegas, NV

Active since February 13, 2024
4003 BOULDER HIGHWAY, LAS VEGAS, NV 89121(702) 968-3265 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Intermountain Medical Holdings Nevada Inc NPPES

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

INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC (NPI 1528822194), doing business as Boulder Station Medical Center, is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since February 2024. The organization lists Michell Cloward, President, as its authorized official.

NPPES Registry Identity

NPI1528822194
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
Location Address4003 BOULDER HIGHWAYLas Vegas, NV 89121
Mailing Address4003 Boulder HighwayLas Vegas, NV 89121 · (702) 968-3265
Phone(702) 968-3265
Organization SubpartNo
Authorized OfficialMichell ClowardPresident · (435) 668-4929
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1528822194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4003 BOULDER HIGHWAY, Las Vegas, NV 89121
Open in Google Maps ↗

Other Names 1

Doing Business AsBoulder Station Medical Center

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 Medical Holdings Nevada Inc's NPI number?

The NPI number for Intermountain Medical Holdings Nevada Inc is 1528822194. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Boulder Station Medical Center.

Where is Intermountain Medical Holdings Nevada Inc located?

Intermountain Medical Holdings Nevada Inc is located at 4003 Boulder Highway, Las Vegas, NV 89121. The listed phone number is (702) 968-3265.

What is Intermountain Medical Holdings Nevada Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Holdings Nevada Inc was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.