IHC HEALTH SERVICES, INC (NPI# 1033240965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033240965 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES, INC |
| Other Organization Name | MCKAY DEE SPORTS MEDICINE |
| Practice Address |
4401 Harrison Blvd Ste 2440 Ogden UT 84403-3195 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013872775 |
| Practice Fax Number | 8013872780 |
| Mailing Telephone | 8013872775 |
| Mailing Fax Number | 8013872780 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Telephone | 8014423974 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
1001282 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| McKay Dee Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841232352 | Ihc Health Services, Inc | Family Medicine | 975 Chambers St, South Ogden, UT 84403-4591 | 2006-06-11 |
| 1588601124 | Ihc Health Services, Inc | Clinic/Center | 331 North 440 West, Orem, UT 84057 | 2006-06-01 |
| 1558314146 | Ihc Health Services, Inc | Clinic/Center | 674 S Highway 99, Fillmore, UT 84631-5013 | 2006-05-18 |
| 1629466750 | Ihc Health Services, Inc | Home Health | 25 N Main St, Fillmore, UT 84631-4507 | 2014-12-23 |
| 1922376334 | Ihc Health Services, Inc | Ambulance | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2011-12-13 |
| 1639312812 | Ihc Health Services, Inc | Health Maintenance Organization | 36 S State St, 950, Salt Lake City, UT 84111-1401 | 2009-04-17 |
| 1265674246 | Ihc Health Services, Inc | Clinic/Center | 4646 Lake Park Blvd, Salt Lake City, UT 84120-8212 | 2009-04-06 |
| 1851530984 | Ihc Health Services, Inc | General Acute Care Hospital | 900 Round Valley Dr, Park City, UT 84060-7532 | 2009-02-12 |
| 1902936503 | Ihc Health Services, Inc | Clinic/Center | 1400 N 500 E, Logan, UT 84341-2455 | 2007-03-06 |
| 1558404426 | Ihc Health Services, Inc | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | IHC HEALTH SERVICES, INC. | 36 S State 22nd Floor, Salt Lake City, UT 84111 |
| Vermont Business Registrations | IHC HEALTH SERVICES, INC. | 36 South State Street, 22nd Floor, Salt Lake City, UT 84111 |
| Washington State Corporations | IHC HEALTH SERVICES, INC. | 36 South State Street, 22nd Floor, Salt Lake City, UT 84111 |
| Street Address |
4401 HARRISON BLVD STE 2440 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396393393 | Camille Elizabeth Crockett | Physical Medicine & Rehabilitation | 1130 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-09-03 |
| 1215493838 | Nikole Decker Squires | Physical Medicine & Rehabilitation | 6748 W 9500 N, Highland, UT 84003-3455 | 2019-02-19 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1295881811 | Michelle Pepper | Physical Medicine & Rehabilitation | 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 | 2007-01-26 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1053887067 | Chase K Hansen | Physical Medicine & Rehabilitation | 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 | 2018-10-17 |
| 1689184053 | Miranda Greer | Physical Medicine & Rehabilitation | 1141 Sfh, Provo, UT 84602-2246 | 2017-10-11 |
| 1770905705 | Emere Utah, LLC | Physical Medicine & Rehabilitation | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2014-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.