Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA C. LECKMAN M.D. (CEO / VICE PRESIDENT)
(801) 442-3974
Entity
Organization
Contact information
Practice address
36 S STATE ST, MEDICAL GROUP - FINANCE DEPARTMENT, SALT LAKE CITY, UT 84111-1401
(801) 442-2997
(801) 442-2867
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-2997
(801) 442-2867
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/11/2006
Last updated
06/08/2010
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