Family Medicine
INTERMOUNTAIN MEDICAL GROUP, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1356397673 · enumerated 2006-05-26 · record updated 2022-01-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JENNIFER JACKSON, Senior Director Provider Enrollment · (877) 892-9815
Addresses and phones
- Practice location 610 WYOMING AVE, KINGSTON, PA, 18704-3702 (570) 288-5441 Fax (570) 288-5842 Google Maps Apple Maps OpenStreetMap
- Mailing address 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067-6325 (615) 465-7000 Fax (615) 628-6877 Google Maps Apple Maps OpenStreetMap
Specialties
- Dietitian, Registered 133V00000X
- Internal Medicine 207R00000X
- Obstetrics & Gynecology 207V00000X
- Orthopaedic Surgery 207X00000X
- Psychiatry & Neurology, Neurology 2084N0400X
- Radiology, Diagnostic Radiology 2085R0202X
- Surgery 208600000X
- Urology 208800000X
- General Practice 208D00000X
- Podiatrist, Foot & Ankle Surgery 213ES0103X
- Physician Assistant, Medical 363AM0700X
- Nurse Practitioner 363L00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
KINGSTON, PA, 187043702
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.