Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1043546260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
Mailing Address: | 2001 S Woodruff Ave #12 Idaho Falls |
State: | ID US |
Postal Code: | 834046374 |
Phone Number: | 8013872655 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 9862008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |