Organization · NPI-2
Ihc Health Services INC
Family Medicine · South Ogden, UT
NPI number1922143643
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1922143643
- Entity type
- Organization (NPI-2)
- Legal business name
- Ihc Health Services INC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Jul 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 204 | UT | Yes |
Other names
- South Ogden Clinic (Doing Business As)
Practice location
975 Chambers StSouth Ogden, UT 84403-4591
Phone 801-387-6200
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-387-6200
Authorized official
Linda C Leckman
Ceo Intermountain Medical Group
8014423974
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