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Ihc Health Services Inc

Organization Active NPI Clinic/Center · Layton, UT

NPI 1083070643 · NPPES record last updated Jan 12, 2016

Key facts

NPI
1083070643
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
IHC HEALTH SERVICES INC
Practice address
2075 University Park Blvd
Layton, UT 84041-1611
Phone
(801) 779-6300
NPI assigned
Jan 12, 2016
Organization subpart
No

Authorized official

Name
Dr. Linda C Leckman, MD
Title
Ceo Intermountain Medical Group
Phone
(801) 442-3974

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Bradley S Thompson DO (479 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207N00000X
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

2075 University Park Blvd
Layton, UT 84041-1611

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 779-6300

Other names

  • Layton Dermatology Doing business as

Other providers in Layton, UT

All providers in Layton, UT · Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.