Organization
IHC HEALTH SERVICES INC
Active
Other names
CRMC Family Medicine
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
1338 HILAND AVE, BURLEY, ID 83318-1561
(801) 442-1400
(801) 442-0643
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
(801) 442-0643
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
20
ID
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/22/2008
Last updated
09/27/2011
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