Intermountain Vein Center

Intermountain Vein Center is a healthcare organization registered as Specialist in Provo, UT, holding Type 2 (organization) NPI 1104959758 since 2007. The authorized official on file is L. Jensen, Coo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104959758
Entity type	Organization (Type 2)
Legal business name	Intermountain Vein Center
Other name	<Unavail>
Practice address	1055 N 300 W, #308, Provo, UT, 84604
Phone	8013796700
Enumeration date	2007-03-13
Last updated in NPPES	2020-08-22

Authorized official

Name	L. Jensen
Title	Coo
Phone	8012256246

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
174400000X	Specialist	Primary	—	—

Copy-ready billing details

Provider: Intermountain Vein Center
NPI: 1104959758
Taxonomy: 174400000X (Specialist)
Address: 1055 N 300 W, #308, Provo, UT, 84604

Providers at this address

NPI	Name	Type	Specialty	Location
1851397491	Paul Olson	Individual	Specialist	Provo, UT
1396741948	Loran Cook	Individual	Specialist	Provo, UT
1841296498	Duane Nelson	Individual	Specialist	Provo, UT
1578560165	Frank Edmunds	Individual	Optometrist	Provo, UT
1801893375	Loran Cook	Individual	Specialist	Provo, UT
1508863978	Joe Haggard	Individual	Optometrist	Provo, UT
1811995004	Douglas Schow	Individual	Orthopaedic Surgery Physician	Provo, UT
1730187600	Robert Smilanich	Individual	Vascular Surgery Physician	Provo, UT

Verify this record

Cross-check NPI 1104959758 against the authoritative CMS record: view Intermountain Vein Center on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Intermountain Vein Center located?

The practice location on file with NPPES is in Provo, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.