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LOGAN CLINIC PHARMACY
NPI 1053575175
Pharmacy - Community/Retail Pharmacy in Logan, UT

Active since July 17, 2008CLIA 46D1014431 · Certificate of Compliance
412 N 200 E, LOGAN, UT 84321(435) 713-2770(435) 713-2787 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, May 3, 2018, Mar 17, 2017 (3 updates tracked since 2017).

About Logan Clinic Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN CLINIC PHARMACY (NPI 1053575175) is a healthcare organization registered as a community/retail pharmacy in Logan, Utah and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2027 and lists Nannette Berensen, Vice President Of Clinical Systems, as its authorized official.

NPPES Registry Identity

NPI1053575175
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIHC HEALTH SERVICES INC
Location Address412 N 200 ELogan, UT 84321-4038
Mailing AddressPo Box 30013Salt Lake City, UT 84130-0013 · (435) 713-2770
Phone(435) 713-2770
Fax(435) 713-2787
Organization SubpartYes
Authorized OfficialNannette BerensenVice President Of Clinical Systems · (801) 284-1005
Enumeration DateJuly 17, 2008
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
✔ NPI 1053575175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 70157141703
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
412 N 200 E, Logan, UT 84321
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Other Names 1

Doing Business AsLogan Clinic Pharmacy

Other Identifiers 3

Other2100988Pk
Medicaid1053575175UT
Medicaid1053575175ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D1014431

Logan Clinic - Instacare · Logan, UT
Active · expires Aug 18, 2027
CLIA Number46D1014431
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorMarc Wangsgard
Laboratory Phone(435) 713-2777
Laboratory LocationLogan Clinic - Instacare412 N 200 E, Logan, UT 84321
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2850
DOUGLAS R HYLDAHL MD
Family Medicine
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2800
MR. COLBY J ANDERSEN P.A.
Physician Assistant
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2710
WILLIAM THOMAS MCCRACKEN PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2770
IHC HEALTH SERVICES INC
Emergency Medicine
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2710
IHC HEALTH SERVICES INC
Clinic/Center
412 N 200 E, LOGAN CLINIC
LOGAN, UT 84321
Cache County (435) 713-2800
MATTHEW MICHAEL HILL PA-C
Physician Assistant
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2800
GARRETT WARD
Physician Assistant
412 N 200 E
LOGAN, UT 84321
Cache County (435) 713-2710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1053575175. It was assigned to this organization in the NPPES registry on July 17, 2008. The provider is doing business as Logan Clinic Pharmacy.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 412 N 200 E, Logan, UT 84321. The listed phone number is (435) 713-2770.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ihc Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D1014431) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.