Active NPI
Ihc Health Services Inc
Doing business as Intermountain Medical Group
- Family Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- Intermountain Medical Group
- Practice address
- 36 S State St
Medical Group - Finance Department
Salt Lake City, UT 84111-1401 - Phone
- (801) 442-2997
- Fax
- (801) 442-2867
- NPI assigned
- Jun 11, 2006
- Last updated
- Jun 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda C. Leckman, M.D.
- Title
- Ceo / Vice President
- Phone
- (801) 442-3974
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Radiation Oncology Physician | 2085R0001X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
36 S State St
Medical Group - Finance Department
Salt Lake City, UT 84111-1401
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 442-2997
Other names 1
- Intermountain Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 2
| 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
National Provider DirectoryLocations (25 of 56)
98 N 1100 E
Ste 201
American Fork, UT 84003
Phone (801) 492-2475
1303 N Main St
Ste C
Cedar City, UT 84721
Phone (435) 868-5500
166 W 1325 N
Ste 150
Cedar City, UT 84721
Phone (435) 586-6962
201 W Layton Pkwy
Ste 1B
Layton, UT 84041
Phone (801) 543-6775
201 W Layton Pkwy
Ste 1C
Layton, UT 84041
Phone (801) 387-4500
159 N Main St
Manti, UT 84642
Phone (435) 835-3344
5171 S Cottonwood St
Ste 150
Murray, UT 84107
4401 Harrison Blvd
Ste 2895
Ogden, UT 84403
Phone (801) 387-3740
4403 Harrison Blvd
Ste 2455
Ogden, UT 84403
Phone (801) 387-2575
4403 Harrison Blvd
Ste 3430
Ogden, UT 84403
Phone (801) 387-3866
4403 Harrison Blvd
Ste 3650
Ogden, UT 84403
Phone (801) 387-7125
4403 Harrison Blvd
Ste 3835
Ogden, UT 84403
Phone (801) 387-3475
4403 Harrison Blvd
Ste 4815
Ogden, UT 84403
Phone (801) 387-8350
1260 S 1600 W
Orem, UT 84058
1378 S 1600 W
Orem, UT 84058
Phone (801) 235-9001
750 Round Valley Dr
Ste 101A
Park City, UT 84060
Phone (435) 658-6621
854 S Turf Farm Rd
Payson, UT 84651
1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580
3723 W 12600 S
Ste 270
Riverton, UT 84065
Phone (801) 285-4600
3723 W 12600 S
Ste 360
Riverton, UT 84065
Phone (801) 205-4700
3741 W 12600 S
Ste 160A
Riverton, UT 84065
1380 E Medical Center Dr
Ste 150
Saint George, UT 84790
1380 E Medical Center Dr
Ste 210
Saint George, UT 84790
1380 E Medical Center Dr
Ste 220
Saint George, UT 84790
1380 E Medical Center Dr
Ste 260
Saint George, UT 84790
Practitioners & affiliated clinicians
Practitioners 113
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1346585346
-
- Registered Dietitian
- Park City, UT
- NPI 1053107938
-
- Psychiatry Physician
- SLC, UT
- NPI 1174898647
-
- Physician Assistant
- St George, UT
- NPI 1821739756
-
- Family Nurse Practitioner
- Salt Lake City, UT
- NPI 1578058764
-
- Physician Assistant
- Ogden, UT
- NPI 1114321361
-
- Obstetrics & Gynecology Physician
- Kissimmee, FL
- NPI 1467588442
-
- Pediatrics Physician
- Layton, UT
- NPI 1982831236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1306888722",
"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": "801-442-2997",
"fax_number": "801-442-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S STATE ST",
"address_2": "MEDICAL GROUP - FINANCE DEPARTMENT",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111401",
"telephone_number": "801-442-2997",
"fax_number": "801-442-2867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "LECKMAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO / VICE PRESIDENT",
"authorized_official_telephone_number": "801-442-3974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
- 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)
- Ihc Health Services Inc (Park City Sleep Disorders Clinic)
- Ihc Health Services Inc (Avenues Neurosurgery)
- Ihc Health Services Inc (Avenues Obstetrics and Gynecology)
- Ihc Health Services Inc (Intermountain Urological Institute-LDS Campus)
- Ihc Health Services Inc (Avenues General Surgery)
- Ihc Health Services Inc (LDS Wound and Hyperbaric)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.