Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1003291568 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
Mailing Address: | 1486 E Skyline Dr Ste 100 South Ogden |
State: | UT US |
Postal Code: | 844054859 |
Phone Number: | 8014421853 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 201567890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |