Ihc Health Services Inc
Organization Active NPI Family Medicine Physician · Taylorsville, UT
NPI 1043340359 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1043340359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3801 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 3845 W 4700 S
Taylorsville, UT 84118-3454 - Phone
- (801) 840-2100
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Linda C Leckman, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Practitioners 15
-
Aubrie Nicole Carter, DNP, FNP-C
-
Holly Lee Carter, APRN, FNP
-
Jessica Coffendaffer, FNP-C
-
W Jason Conover, LCSW
-
Myung H Lee, M.D.
-
Lori S Trauntvein, FNP
-
Diane Mary Vroenen, D.O.
-
Brynn Julie Duerden, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000079 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 1,923 practitioners This NPI is an additional NPI on the enrollment |
| O20080610000303 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 3801 | UT | Yes |
| Obstetrics & Gynecology Physician |
207V00000X | 3801 | UT |
Addresses
Primary practice location
3845 W 4700 S
Taylorsville, UT 84118-3454
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 840-2100
Other names
- Taylorsville Clinic
Other providers in Taylorsville, UT
- Jacky Huynh
- Johnson Huynh
- Yahia N/a Iarochen
- Nicole Ichiho
- Idyllic Health & Aesthetics PLLC
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
All providers in Taylorsville, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.