# INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC
- **Other names:** Tenaya Clinic- Hematology Oncology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164541512
- **Legal business name:** INTERMOUNTAIN MEDICAL HOLDINGS NEVADA, INC
- **Authorized official:** MITCH CLOWARD (REGION PRESIDENT)
- **Authorized official phone:** (702) 216-3346

## Contact information

- **Practice address:** 2650 N TENAYA WAY STE 201, LAS VEGAS, NV 89128
- **Practice address phone:** (702) 735-7154
- **Practice address fax:** (702) 869-8103
- **Mailing address:** 6355 S BUFFALO DR, LAS VEGAS, NV 89113-2133
- **Mailing address phone:** (702) 216-3346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/14/2025