OrganizationHealthcare Partners Medical Group (Coats), Ltd.(Intermountain Healthcare)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241(702) 655-0550(702) 216-3346PECOS EnrollmentBased on the most recent information from CMS, provider Healthcare Partners Medical Group (Coats), Ltd. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1114244464Provider TypeOrganizationFull NameHealthcare Partners Medical Group (Coats), Ltd.Other NameIntermountain HealthcareSubpartNoEnumeration Date4/27/2010Last Updated3/23/2021Contact InformationPractice LocationPractice Address4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241Phone(702) 655-0550Fax(702) 655-0545Mailing LocationMailing AddressPO Box 98978, Las Vegas, NV 89193-8978Phone(702) 216-3346FaxUnlisted FaxAuthorized OfficialNameCoats, H Bard (President)Phone(702) 216-3346Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2083X0100XDescriptionPreventive MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer