Ihc Health Services Inc

Organization Active NPI Community Health Registered Nurse · Draper, UT

NPI 1992902290 · NPPES record last updated Jul 31, 2008

Key facts

NPI
1992902290
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
2007-0219 (UT)
Legal business name
IHC HEALTH SERVICES INC
Practice address
212 E 12300 S
Draper, UT 84020-8184
Phone
(801) 571-4666
NPI assigned
Jun 29, 2007
Organization subpart
No

Authorized official

Name
Dr. Linda C Leckman, MD
Title
Ceo Intermountain Medical Group
Phone
(801) 442-3974

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 12

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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 (479 organizations share this tax ID)

Locations

3903 Medical Dr
Ogden, UT 84403
Phone (435) 716-5848

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WC1500X 2007-0219 UT Yes

Addresses

Primary practice location

212 E 12300 S
Draper, UT 84020-8184

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 571-4666

Other names

  • Draper ExpressCare Doing business as

Other providers in Draper, UT

All providers in Draper, UT · Community Health Registered Nurse in Utah

Sources for this page

Verify at the official NPI Registry.