Ihc Health Services Inc
Organization Active NPI Cardiovascular Disease Physician · Ogden, UT
NPI 1992196968 · NPPES record last updated Feb 12, 2015
Key facts
- NPI
- 1992196968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 742492015 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 4403 Harrison Blvd
Ste 3430
Ogden, UT 84403-3271 - Phone
- (801) 387-3880
- NPI assigned
- Feb 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Linda C Leckman, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Corporate family (same tax ID) 15
Practitioners 8
-
Bret R Boyle, D.O.
-
Lindsey Jane Clasby, NNP
-
Susan Cooper, NP-C
-
Jane J. He, MD
-
Nathan Money, D.O
-
Kenneth R Smith, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Bradley S Thompson DO
Locations
4401 Harrison Blvd
Ste 3430
Ogden, UT 84403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 742492015 | UT | Yes |
Addresses
Primary practice location
4403 Harrison Blvd
Ste 3430
Ogden, UT 84403-3271
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-3880
Other names
- McKay Dee Heart Failure
Other providers in Ogden, 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 Ogden, UT · Cardiovascular Disease 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 12, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.