IHC HEALTH SERVICES INC (NPI# 1073642757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073642757 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | SALT LAKE CLINIC RADIOLOGY |
| Practice Address |
333 S 900 E Salt Lake City UT 84102-2310 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8019336000 |
| Mailing Telephone | 8019336000 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-04-16 |
| 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 | 2085B0100X |
Radiology Specialization: Body Imaging |
19960602 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Salt Lake Clinic Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1881166361 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2018-12-21 |
| 1235626698 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40 Ste G, Heber City, UT 84032-3522 | 2018-04-20 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| Street Address |
333 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347765 | Russell Jon Ord | Otolaryngology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-06-24 |
| 1962749473 | Chelsie Coates | Registered Nurse | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2013-01-04 |
| 1952631772 | Ihc Health Services Inc. | Clinic/Center | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2009-12-29 |
| 1356550578 | Darci Stapley | Dietitian, Registered | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2007-05-22 |
| 1629107305 | Ihc Health Services Inc | Dermatology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2007-03-05 |
| 1972631042 | Ihc Health Services Inc | Radiology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2007-03-01 |
| 1356414650 | Charles R Sokol | Pharmacist | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-11-16 |
| 1619047743 | Mark Charles Foote | Psychiatry & Neurology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-11-08 |
| 1821173774 | John Wallace Mcmurray | Pharmacist | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-10-26 |
| 1407944457 | Jacqueline A. Rendo | Obstetrics & Gynecology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770701542 | Maryam Rezvani | Radiology | 30 North 1900 East, #1a71, Salt Lake City, UT 84132 | 2007-04-24 |
| 1700961596 | John W Vosskuhler | Radiology | 5538 Brockway Dr, Salt Lake City, UT 84117-7314 | 2006-10-27 |
| 1225006109 | Thomas C Winter IIi | Radiology | University of Utah Department of Radiology, 30 North 1900 East #1a071, Salt Lake City, UT 84132-0001 | 2006-03-08 |
| 1578070157 | Leeanne Hadfield | Radiology | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2018-01-05 |
| 1174713978 | Ihc Health Services Inc | Radiology | 440 D St, #200, Salt Lake City, UT 84103-2817 | 2007-07-27 |
| 1740377795 | Anne Maria Kennedy | Radiology | 50 N Medical Dr, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1659468601 | Peter Ruben Koehler | Radiology | 50 N Medical Dr, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1659488799 | Pediatric Orthopedic Associates | Radiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84112-8924 | 2006-08-24 |
| 1417983776 | University of Utah Ob Diagnostic Center | Radiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-06-25 |
| 1639124498 | University Radiology Associates | Radiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-05-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.