# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avenues Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689709859
- **Authorized official:** DR. LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
- **Authorized official phone:** (801) 442-3974

## Contact information

- **Practice address:** 324 10TH AVE, \#200, SALT LAKE CITY, UT 84103-2853
- **Practice address phone:** (801) 408-7500
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 408-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | 6312010 | UT | — |
| 207R00000X | Internal Medicine Physician | 20040897 | UT | Yes |
| 207RG0100X | Gastroenterology Physician | 6312010 | UT | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 20040897 | UT | — |
| 207V00000X | Obstetrics & Gynecology Physician | 6312010 | UT | — |
| 208600000X | Surgery Physician | 6312010 | UT | — |
| 208800000X | Urology Physician | 6312010 | UT | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 09/03/2010
