Intermountain Medical Group, Inc
Family Medicine Clinic
610 Wyoming Ave, Kingston
Pennsylvania, 18704-3702
570-288-5441 570-288-5842
Maps & DirectionsIntermountain Medical Group, Inc is a Dietitian, Registered Clinic in Kingston, Pennsylvania. It is situated at 610 Wyoming Ave, Kingston and its contact number is 570-288-5441. The authorized person of Intermountain Medical Group, Inc is Jennifer L Jackson
who is Senior Director Provider Enrollment of the clinic and their contact number is 877-892-9815.
Intermountain Medical Group, Inc Clinic A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Complete Profile:
Intermountain Medical Group, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Dietitian, Registered |
| Clinic Address: | 610 Wyoming Ave, Kingston, Pennsylvania, 18704-3702 |
| Phone: | 570-288-5441 |
| Fax: | 570-288-5842 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jennifer L Jackson |
| Position: | Senior Director Provider Enrollment |
| Contact Number: | 877-892-9815 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Intermountain Medical Group, Inc Clinic are as mentioned below.
| NPI Number: | 1356397673 |
| NPI Enumeration Date: | 26 May, 2006 |
| NPI Last Update On: | 25 Jan, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Intermountain Medical Group, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Dietitian, Registered | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Obstetrics & Gynecology | | | Secondary | |
| Orthopaedic Surgery | | | Secondary | |
| Neurology | | | Secondary | |
| Diagnostic Radiology | | | Secondary | |
| Surgery | | | Secondary | |
| Urology | | | Secondary | |
| General Practice | | | Secondary | |
| Foot & Ankle Surgery | | Pennsylvania | Secondary | |
| Medical | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100755627 | Medicaid | Pennsylvania | |
| 1624037 | Other | Pennsylvania | Highmark Blue Shield |
| 510820 | Other | | Highmark Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Intermountain Medical Group, Inc 4000 Meridian Blvd, Franklin, Tennessee |
| Zip: | 37067-6325 |
| Phone Number: | 615-465-7000 |
| Fax Number: | 615-628-6877 |
Patients can reach Intermountain Medical Group, Inc at
610 Wyoming Ave, Kingston, Pennsylvania or can
call to book an appointment on 570-288-5441.
Comments/ Reviews:
Patients can read all the reviews posted for Intermountain Medical Group, Inc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Intermountain Medical Group, Inc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.