Ihc Health Services Inc
Organization Active NPI Internal Medicine Physician · Murray, UT
NPI 1487780177 · NPPES record last updated Feb 16, 2012
Key facts
- NPI
- 1487780177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 34307 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 6272 Highland Dr
Murray, UT 84121-2126 - Phone
- (801) 273-5000
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Linda C Leckman, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Practitioners 18
-
Sean David Biggs, M.D.
-
Zachary Douglas Fisher, PA-C
-
Jason Reid Lesser, MSN, FNP-C
-
Felix Leung, MD
-
Michael W. Mangelson, M.D.
-
Adam Campman Nelson, M.D.
-
Mikio Obayashi, M.D.
-
Lana Ngoc Pho, M.D.
-
Shannon L Tilly, MD
-
Jared West, D.O.
-
Joseph Hugh Kamerath, M.D.
-
Jessica L Lucas, DO
-
Alexandra Maya McSpadden, P.A.
-
Arindam Sharma, M.D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0524216 | Holladay Clinic | Compliance | Apr 5, 2028 |
| 46D1105848 | Holladay Clinic - Dermatology | Compliance | Feb 21, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| 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
Locations
4403 Harrison Blvd
Ste 2600
Ogden, UT 84403
Phone (801) 378-7450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 34307 | UT | Yes |
| Podiatrist |
213E00000X | 34307 | UT |
Addresses
Primary practice location
6272 Highland Dr
Murray, UT 84121-2126
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 273-5000
Other names
- Holladay Clinic
Other providers in Murray, UT
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
All providers in Murray, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.