Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain American Fork Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 357-3971
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-3971
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2006-HOSP-164
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7742
RR MEDICARE
—
Enumeration date
03/07/2007
Last updated
01/21/2010
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