Intermountain Medical Group, Inc
NPI 1356397673ActiveOrganization· Family Medicine· Kingston, PA
Family Medicine in Kingston, Pennsylvania, registered in NPPES in May 2006. The authorized official on file is Jennifer L. Jackson, Senior Director Provider Enrollment.
Overview
| NPI | 1356397673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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