Ihc Health Services Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2008504 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Intermountain Urological Institute-LDS Campus

Practice address

324 10TH Ave
Ste 178
Salt Lake City, UT 84103-2853

Phone

(801) 408-3771

NPI assigned

May 30, 2008

Last updated

Jul 30, 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 1

Addresses

Other names 1

• Intermountain Urological Institute-LDS Campus Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1336307966",
    "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": "801-408-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 10TH AVE",
            "address_2": "STE 178",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032853",
            "telephone_number": "801-408-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-07-30",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "2008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Urological Institute-LDS Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (LDS Campus Sleep Program)
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• Ihc Health Services Inc (Avenues Obstetrics and Gynecology)
• Ihc Health Services Inc (Avenues General Surgery)
• Ihc Health Services Inc (LDS Wound and Hyperbaric)
• Ihc Health Services Inc
• Ihc Health Services Inc (LDS Critical Care)
• Ihc Health Services Inc (Rose Park Elementary Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.