Organization Active NPI

Ihc Health Services Inc

Doing business as Intermountain Medical Group

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1306888722
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations (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.

View all 113

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

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.

Verify at the official NPI Registry.