INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1922979236
Family Medicine in Burley, ID

Active since September 17, 2025
1501 HILAND AVE STE F, BURLEY, ID 83318(801) 442-5502 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Intermountain Medical Group Denver, Llc NPPES

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

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC (NPI 1922979236) is a healthcare organization registered as a family medicine in Burley, Idaho and active in the NPI registry since September 2025. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1922979236
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address1501 HILAND AVE STE FBurley, ID 83318-2682
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1922979236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1501 HILAND AVE STE F, Burley, ID 83318

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1501 HILAND AVE STE F
BURLEY, ID 83318

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 Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1922979236. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 1501 Hiland Ave Ste F, Burley, ID 83318. The listed phone number is (801) 442-5502.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.