MEDICARE: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1467164723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Provider Business Mailing Address
First Line	:	500 ELDORADO BLVD STE 4300
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3564
Country	:	US
Telephone Number	:	303-272-0566
Fax Number	:	303-272-0390

Provider Business Practice Location Address
First Line	:	8900 E 46TH PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3143
Country	:	US
Telephone Number	:	303-403-6300
Fax Number	:	303-403-6315

Authorized Official
Title or Position	:	VP FINANCE
Name	:	JON MCDANIEL
Credential	:
Telephone Number	:	303-272-0231

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	06/28/2024

Similar Medicare Providers

1720946916 — TRISTIAN BRYANT MA, LPCC
Practice Location Address:

12000 E 47TH AVE
DENVER, CO
80239-3143

Practice Phone: 303-732-6881
Practice Fax:

1346411436 — MRS. DANIELLE YVONNE KENNEDY M.S., CCC-A
Practice Location Address:

13952 DENVER WEST PKWY STE 325
LAKEWOOD, CO
80401-3143

Practice Phone: 720-974-9757
Practice Fax: 720-974-0248

1154694396 — SARAH MURCHISON MED, LPCA
Practice Location Address:

3143 JAMES PLANTATION DR
DENVER, NC
28037-8798

Practice Phone: 803-370-2239
Practice Fax:

1881372043 — STRUGGLE OF LOVE FOUNDATION
Practice Location Address:

12000 E 47TH AVE STE 403A
DENVER, CO
80239-3143

Practice Phone: 720-923-6122
Practice Fax:

1346026481 — MS. RACHEL KELLEY
Practice Location Address:

12000 E 47TH AVE
DENVER, CO
80239-3143

Practice Phone: 303-504-6500
Practice Fax:

1477436830 — MALLORY HALE
Practice Location Address:

12000 E 47TH AVE
DENVER, CO
80239-3143

Practice Phone: 303-574-1360
Practice Fax:

Directions to “INTERMOUNTAIN MEDICAL GROUP DENVER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.