Active NPI
Ihc Health Services Inc
Doing business as Intermountain Mt. Pleasant Clinic
- Family Medicine Physician
- Mt Pleasant, UT
National Provider Identifier
1750425815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2916
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- Intermountain Mt. Pleasant Clinic
- Practice address
- 1100 S Medical Dr
Mt Pleasant, UT 84647-2222 - Phone
- (435) 462-3471
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2916 | UT | Primary |
Addresses
Primary practice location
1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 462-3471
Other names 1
- Intermountain Mt. Pleasant Clinic
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 |
|---|---|---|---|
| 46D0660925 | Intermountain Mt Pleasant Clinic | Provider-performed microscopy | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1659958742
-
- Nurse Practitioner
- Provo, UT
- NPI 1942788807
-
- Hospitalist Physician
- Provo, UT
- NPI 1881810299
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1417987587
-
- Family Nurse Practitioner
- St George, UT
- NPI 1922338698
-
- Physician Assistant
- St George, UT
- NPI 1104850502
-
- Sports Medicine (Family Medicine) Physician
- Bountiful, UT
- NPI 1609845775
-
- Surgical Physician Assistant
- Murray, UT
- NPI 1982869210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1750425815",
"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": "435-462-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MEDICAL DR",
"city": "MT PLEASANT",
"state": "UT",
"postal_code": "846472222",
"telephone_number": "435-462-3471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2008-07-17",
"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": "2916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Mt. Pleasant Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, UT
- Ihc Health Services (IMED HSA Sanpete)
- Ihc Health Services Inc (Sanpete Hospitalist)
- Ihc Health Services Inc (Cardiac Imaging - Mt Pleasant)
- Ihc Health Services Inc (Intermountain Health Home Health Fillmore)
- Ihc Health Services Inc (Sanpete Valley Hospital Physicians)
- Ihc Health Services Inc (Intermountain Health Home Medical Equipment Mt. Pleasant)
- Ihc Health Services, Inc (Sanpete Valley Hospital)
- Ihc Health Services, Inc. (Intermountain Health Sanpete Valley Hospital)
- Cody Robert Irons
- Shae A Ison
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.