Intermountain 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.
Complete Clinic 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
Dietitian, Registered: 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.