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NPI Code Detail

MEDICARE: IHC HEALTH SERVICES, INC

MEDICARE: IHC HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1548202096
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHC HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-387-8300
Fax Number : 801-737-9531
Provider Business Practice Location Address
First Line : 2400 N WASHINGTON BLVD
Second Line :
City : OGDEN
State : UT
Zip : 84414-7233
Country : US
Telephone Number : 801-387-8300
Fax Number : 801-737-9531
Authorized Official
Title or Position : CEO - INTERMOUNTAIN MEDICAL GROUP
Name : LINDA C LECKMAN
Credential : MD
Telephone Number : 801-442-3974
Provider Enumeration Date : 06/11/2006
Last Update Date : 07/30/2008

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Directions to “IHC HEALTH SERVICES, INC ” Practice Location

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