Active NPI
Ihc Health Services Inc
- Family Medicine Physician
- South Ogden, UT
National Provider Identifier
1922143643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 975 Chambers St
South Ogden, UT 84403-4591 - Phone
- (801) 387-6200
- NPI assigned
- Feb 20, 2007
- 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 | 204 | UT | Primary |
Addresses
Primary practice location
975 Chambers St
South Ogden, UT 84403-4591
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-6200
Other names 1
- South Ogden 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 |
|---|---|---|---|
| 46D0705203 | South Ogden Clinic - Family Medicine | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- South Ogden, UT
- NPI 1508027541
-
- Clinical Social Worker
- Midvale, UT
- NPI 1720009285
-
- Physician Assistant
- Logan, UT
- NPI 1104556125
-
- Pediatrics Physician
- Sandy, UT
- NPI 1467607135
-
- Physician Assistant
- North Ogden, UT
- NPI 1740206630
-
- Clinical Psychologist
- Salt Lake City, UT
- NPI 1811506710
-
- Surgery Physician
- Murray, UT
- NPI 1386669018
-
- Clinical Neuropsychologist
- Phoenix, AZ
- NPI 1265289367
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": "1217376000000",
"number": "1922143643",
"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": "801-387-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 CHAMBERS ST",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034591",
"telephone_number": "801-387-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "UT",
"license": "204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Ogden Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Ogden, UT
Sources for this page
- 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.
- 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.