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IHC HEALTH SERVICE INC NPI 1013058395


NPI Information

NPI: 1013058395
Provider Name: IHC HEALTH SERVICE INC

Doing Business As: INTERMOUNTAIN EPHRAIM CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0662411

Address:
525 N MAIN ST
EPHRAIM, UT
ZIP 84627
Phone: (435) 283-4076
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IHC HEALTH SERVICE INC is a family medicine in Ephraim, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IHC HEALTH SERVICE INC NPI is 1013058395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intermountain Ephraim Clinic.

The provider's business location address is:

525 N MAIN ST
EPHRAIM, UT
ZIP 84627-155
Phone: (435) 283-4076
Fax: (435) 283-4078

The provider's authorized official is Linda C Leckman .
The authorized official title is Ceo - Intermountain Medical Group and has the following contact phone number (801) 442-3974.

The CLIA number assigned to this NPI record is 46D0662411 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery1195UTAHNo
2208600000XSurgery1195UTAHNo
3207Q00000XFamily Medicine1195UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000055456MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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