INTERMOUNTAIN MEDICAL CLINIC – NPI #1205869310
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

INTERMOUNTAIN MEDICAL CLINIC is a provider located in POCATELLO, ID. NPPES has assigned the NPI number 1205869310 to INTERMOUNTAIN MEDICAL CLINIC on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTERMOUNTAIN MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is FAMILY PRACTICE GROUP, P.A.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Nov 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERMOUNTAIN MEDICAL CLINIC below.

NPI Profile for
FAMILY PRACTICE GROUP, P.A.

NPI Number
1205869310
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY PRACTICE GROUP, P.A.
Doing Business As (dba): INTERMOUNTAIN MEDICAL CLINIC
Primary location
1951 BENCH RD
SUITE B
POCATELLO, ID 83201-2073
Phone: (208) 238-1000 Fax: (238) 238-0009
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHELLY STRANSKI
ADMINISTRATOR
Phone: (208) 238-1000
Updated
Certification Date
Nov 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363A00000X
- Physician Assistant
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.