Intermountain Medical Group, Inc is a Neurology Clinic in Kingston, Pennsylvania. It is located at 610 Wyoming Ave, Kingston, PA and its contact number is 570-288-5441. The authorized person for Intermountain Medical Group, Inc is Jennifer L Jackson
who is Senior Director Provider Enrollment of the clinic and his/her contact number is 877-892-9815. Intermountain Medical Group, Inc Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Intermountain Medical Group, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for 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 14 October, 2024.