# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intermountain Healthcare Flu Shot Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003219486
- **Authorized official:** LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
- **Authorized official phone:** (801) 442-3974

## Contact information

- **Practice address:** 776 N TERMINAL DR, SALT LAKE CITY, UT 84122-7003
- **Practice address phone:** (801) 292-6100
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 292-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 770902014 | UT | Yes |

## Other

- **Enumeration date:** 09/30/2014
- **Last updated:** 09/30/2014