Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1982732186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
Mailing Address: | 1350 N 500 E Logan |
State: | UT US |
Postal Code: | 843412400 |
Phone Number: | 4357520422 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 09/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 06-05129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |