Active NPI
Ihc Health Services Inc
Doing business as Intermountain River Road Family Medicine
- Family Medicine Physician
- St George, UT
National Provider Identifier
1417092883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3311
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- Intermountain River Road Family Medicine
- Practice address
- 577 S River Rd
St George, UT 84790-2097 - Phone
- (435) 688-6000
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 18, 2008
- 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, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3311 | UT | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 3311 | UT |
Addresses
Primary practice location
577 S River Rd
St George, UT 84790-2097
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 688-6000
Other names 1
- Intermountain River Road Family Medicine
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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2265636 | Intermountain Health River Road Family Medicine | Provider-performed microscopy | Jul 28, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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
- American Fork, UT
- NPI 1518194687
-
- Physician Assistant
- Cedar City, UT
- NPI 1023278728
-
- Family Nurse Practitioner
- South Salt Lake, UT
- NPI 1164980181
-
- Internal Medicine Physician
- Logan, UT
- NPI 1104093996
-
- Critical Care Medicine (Internal Medicine) Physician
- Murray, UT
- NPI 1801157219
-
- Infectious Disease Physician
- Salt Lake City, UT
- NPI 1073932851
-
- Physician Assistant
- Skokie, IL
- NPI 1689967598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1417092883",
"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": "435-688-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 S RIVER RD",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902097",
"telephone_number": "435-688-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-07-18",
"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": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "3311",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "3311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain River Road Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St George, UT
- Ihc Health Services Inc (Southwest Neurology Associates)
- Ihc Health Services Inc (Intermountain Cardiovascular and Thoracic Surgery - St. George)
- Ihc Health Services Inc (Intermountain Professional Radiology Services)
- Ihc Health Services Inc (Dixie Inpatient Psychiatry)
- Ihc Health Services Inc (St George WorkMed)
- Ihc Health Services Inc (St George Wound and Hyperbaric)
- Ihc Health Services Inc
- Ihc Health Services Inc (St George Regional Hospital Physicians)
- Ihc Health Services Inc (Intermountain River Road InstaCare)
- Ihc Health Services Inc (Washington Fields - Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.