Ihc Health Services Inc

Key facts

NPI

1578699286

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

License

1996-13039 (UT)

Legal business name

IHC HEALTH SERVICES INC

Practice address

505 W 400 N
Orem, UT 84057-1950

Phone

(801) 714-3450

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 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Wayne Bacon, M.D. Trauma Surgery Physician · Murray, UT · NPI 1154611986
  NPD
• Heidi Bedont, PA-C Physician Assistant · Murray, UT · NPI 1861852527
  NPD OBSTETRICS & GYNECOLOGY
• Michael J Doermann, D.O. Internal Medicine Physician · Provo, UT · NPI 1548645195
  NPD
• Gary L Harris, MD Family Medicine Physician · Smithfield, UT · NPI 1154330462
  NPD FAMILY MEDICINE
• Karen Anna Rymer, APRN - BC Family Nurse Practitioner · Salt Lake City, UT · NPI 1821002262
  NPD
• Bharani G Srinivasan, MD Internal Medicine Physician · Riverton, UT · NPI 1730286287
  NPD
• Cynthia M Stanger, CNM Advanced Practice Midwife · Salt Lake City, UT · NPI 1447552955
  NPD
• Jennifer A Uyematsu, AUD Audiologist · Tremonton, UT · NPI 1871686311
  NPD
• Brian C Dawson, M.D. Family Medicine Physician · Brigham City, UT · NPI 1265464960
  NPD (past) FAMILY MEDICINE
• Marie Shelton, D.O. Family Medicine Physician · Orem, UT · NPI 1437343316
  NPD (past) FAMILY MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in UT

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other names

• Intermountain Central Orem Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2008.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1578699286",
    "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": "801-714-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571950",
            "telephone_number": "801-714-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-31",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1996-13039",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "1996-13039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Central Orem Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Orem, UT · Family Medicine Physician in Utah