Ihc Health Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19950476 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Bryner Clinic

Practice address

525 E 100 S
Suite 500
Salt Lake City, UT 84102-4210

Phone

(801) 519-7100

NPI assigned

Feb 23, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 3

Addresses

Other names 1

• Bryner Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ihc Health Services Inc

  dba Bryner Clinic Independent Lab

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1215109665

  O20040119000317

  Same enrollment
• Ihc Health Services Inc

  dba Salt Lake Clinic Independent Lab

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1457481939

  O20040119000317

  Same enrollment
• Ihc Health Services Inc

  dba Intermountain Precision Genomics

  • Clinical Medical Laboratory
  • St George, UT
  • NPI 1730798372

  O20040119000317

  Same enrollment
• Ihc Health Services, Inc.

  dba Intermountain Healthcare Core Laboratory

  • Clinical Medical Laboratory
  • Murray, UT
  • NPI 1720029960

  O20040119000317

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1225163702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-519-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 100 S",
            "address_2": "SUITE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024210",
            "telephone_number": "801-519-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "19950476",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "19950476",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "UT",
            "license": "19950476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryner Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Intermountain Life Flight)
• Ihc Health Services Inc (North Temple Urgent Care Clinic)
• Ihc Health Services Inc
• Ihc Health Services Inc (KidsCare at Memorial)
• Ihc Health Services Inc (Bryner Clinic Independent Lab)
• Ihc Health Services Inc (IMED Utah Heart - LDSH)
• Ihc Health Services Inc (Primary Childrens Dialysis Center)
• Ihc Health Services Inc (PCMC Neuropsychology U of U)
• Ihc Health Services Inc (Int Anticoagulation)
• Ihc Health Services Inc (LDS Campus Sleep Program)

• Internal Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.