IHC HEALTH SERVICES INC (NPI# 1114057924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114057924 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | SPORTS MEDICINE SPECIALISTS - BOUNTIFUL |
| Practice Address |
280 N Main St Bountiful UT 84010-6136 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012982495 |
| Mailing Telephone | 8019906286 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | DR. LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Telephone | 8014423974 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2006-32348 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Medicine Specialists - Bountiful | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1881166361 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2018-12-21 |
| 1235626698 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40 Ste G, Heber City, UT 84032-3522 | 2018-04-20 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| Street Address |
280 N MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845775 | Spencer E. Richards | Neuromusculoskeletal Medicine, Sports Medicine | 280 N Main St, Bountiful, UT 84010-6136 | 2006-03-14 |
| 1811538697 | Tayler Jensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-10-03 |
| 1063973915 | Hailee Christensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-03-25 |
| 1033674973 | Jessica Elizabeth Sherman | Physical Therapist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-02-05 |
| 1275004954 | Elaina Scott Gregerson | Physical Therapist | 280 N Main St, Bountiful, UT 84010-6136 | 2018-12-06 |
| 1083079909 | Marie Perkins | Specialist/Technologist | 280 N Main St, Bountiful, UT 84010-6136 | 2015-12-18 |
| 1164802203 | Anna Cole Mctish | Occupational Therapist | 280 N Main St, # 2, Bountiful, UT 84010-6136 | 2015-06-03 |
| 1679952352 | Michelle Nicole Dean | Specialist | 280 N Main St, Bountiful, UT 84010-6136 | 2015-05-27 |
| 1639519549 | Ashley Safsten | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2013-06-25 |
| 1639412208 | Megan Eidenshink Shelly | Occupational Therapist | 280 N Main St, Second Floor, Bountiful, UT 84010-6136 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396393393 | Camille Elizabeth Crockett | Physical Medicine & Rehabilitation | 1130 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-09-03 |
| 1215493838 | Nikole Decker Squires | Physical Medicine & Rehabilitation | 6748 W 9500 N, Highland, UT 84003-3455 | 2019-02-19 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1033240965 | Ihc Health Services, Inc | Physical Medicine & Rehabilitation | 4401 Harrison Blvd Ste 2440, Ogden, UT 84403-3195 | 2007-03-09 |
| 1295881811 | Michelle Pepper | Physical Medicine & Rehabilitation | 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 | 2007-01-26 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1053887067 | Chase K Hansen | Physical Medicine & Rehabilitation | 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 | 2018-10-17 |
| 1689184053 | Miranda Greer | Physical Medicine & Rehabilitation | 1141 Sfh, Provo, UT 84602-2246 | 2017-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.