INTERMOUNTAIN HEALTH CENTER INC
NPI 1609245273
Clinic/Center - Multi-Specialty in Tucson, AZ

Active since September 24, 2015
5055 E BROADWAY BLVD STE C104, TUCSON, AZ 85711(520) 628-9833(520) 623-9083 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 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 1609245273) is a healthcare organization registered as a multi-specialty in Tucson, Arizona and active in the NPI registry since September 2015. The organization lists Rose Mary Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1609245273
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINTERMOUNTAIN HEALTH CENTER INC
Location Address5055 E BROADWAY BLVD STE C104Tucson, AZ 85711-3641
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Fax(520) 623-9083
Organization SubpartYesParent: Intermountain Centers For Human Development
Authorized OfficialRose Mary LopezPresident And Ceo · (520) 721-1887
Enumeration DateSeptember 24, 2015
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1609245273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5055 E BROADWAY BLVD STE C104, Tucson, AZ 85711

Other Identifiers 2

OtherOTC7779AZ · Adhs/bmfl License
Medicaid198509AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intermountain Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Intermountain Health Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner17
Mental Health Counselor4
Clinical Social Worker1
Emergency Medicine1
Family Practice1
Psychiatry1

Nearest to this location (20)

See all 25
Nurse Practitioner
NPI 1578822680
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
(520) 721-1887
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1275497604
5055 E BROADWAY BLVD STE C104
Tucson, AZ 85711
(520) 623-9833
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780147405
5055 E BROADWAY BLVD STE A200
Tucson, AZ 85711
(520) 901-4800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1457196826
2224 N CRAYCROFT RD STE 100
Tucson, AZ 85712
(520) 209-1919
✔ PECOS✔ Accepts Medicare1.9 mi
Emergency Medicine
NPI 1417334970
1501 N CAMPBELL AVE
Tucson, AZ 85724
(520) 626-7233
✔ PECOS3.8 mi
Family Practice
NPI 1386271104
1021 E PALMDALE ST STE 130
Tucson, AZ 85714
(520) 407-5353
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1134216104
502 W 29TH ST
Tucson, AZ 85713
(520) 884-9920
✔ PECOS✔ Accepts Medicare5.5 mi
Mental Health Counselor
NPI 1225554363
994 S HARRISON RD
Tucson, AZ 85748
(520) 551-9578
✔ PECOS5.6 mi
Psychiatry
NPI 1629101217
1501 W COMMERCE CT
Tucson, AZ 85746
(520) 741-3180
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1386312577
7973 S SILVER LILLIE WAY
Tucson, AZ 85747
(214) 998-2077
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1700616737
500 S HIGHWAY 80 STE A
Benson, AZ 85602
(520) 721-0290
✔ PECOS38 mi
Nurse Practitioner
NPI 1619365954
1835 N MASTICK WAY
Nogales, AZ 85621
(520) 375-5000
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1952159253
3755 S ROME STREET
Gilbert, AZ 85297
(480) 677-5500
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1467547414
1930 S ALMA SCHOOL RD STE A206
Mesa, AZ 85210
(480) 779-9050
✔ PECOS98 mi
Nurse Practitioner
NPI 1164283818
1515 E OSBORN RD
Phoenix, AZ 85014
(602) 604-0000
✔ PECOS✔ Accepts Medicare110 mi
Nurse Practitioner
NPI 1285597617
6232 N 7TH ST STE 101
Phoenix, AZ 85014
(623) 233-0914
✔ PECOS113 mi
Nurse Practitioner
NPI 1356868160
2545 S ARIZONA AVE BLDG A-D
Yuma, AZ 85364
(928) 376-0220
✔ PECOS220 mi
Nurse Practitioner
NPI 1740064583
2545 S ARIZONA AVE BLDG A-D
Yuma, AZ 85364
(928) 376-0220
✔ PECOS220 mi
Nurse Practitioner
NPI 1982361127
275 W 17TH PL
Yuma, AZ 85364
(928) 344-8800
✔ PECOS✔ Accepts Medicare221 mi
Mental Health Counselor
NPI 1356637870
200 LILLY RD NE STE C
Olympia, WA 98506
(360) 918-8336
✔ PECOS1,202 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1609245273. It was assigned to this organization in the NPPES registry on September 24, 2015.

Where is Intermountain Health Center Inc located?

Intermountain Health Center Inc is located at 5055 E Broadway Blvd Ste C104, Tucson, AZ 85711. The listed phone number is (520) 628-9833.

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.

Is Intermountain Health Center Inc enrolled in Medicare?

Yes. Intermountain Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Intermountain Health Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Mental Health Counselor (4) and Clinical Social Worker (1). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Intermountain Health Center Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Intermountain Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intermountain Health Center Inc was last updated on February 29, 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.