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✓ OIG exclusion check passed — not excluded from federal healthcare programs
IS

INTERMOUNTAIN SPINE AND PAIN CENTER

Adult Day Care

OIG CLEARNPI VERIFIED
Location
PROVIDENCE, UT
Licensed since
2007
Rate
Federal identifiers
NPI registry number1215057955
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTRACEY KARTSONE
TitleACCOUNTS MANAGER
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