Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Medical Holdings Nevada Inc

Organization Primary Care Clinic/Center · NPI 1528822194

Intermountain Medical Holdings Nevada Inc is a Primary Care Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4003 Boulder Hwy
Las Vegas, NV 89121
Phone: (702) 968-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1528822194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michell Cloward — President · (435) 668-4929
Other names Boulder Station Medical Center
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 12, 2024
Mailing address4003 Boulder Highway, Las Vegas, NV 89121

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