LIVE WELL CENTER-SALT LAKE CITY
NPI 1073808085
Internal Medicine - Sports Medicine in Salt Lake City, UT

Q: What is Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1073808085. It was assigned to this organization in the NPPES registry on June 17, 2011. The provider is doing business as Live Well Center-Salt Lake City.

Q: What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Active since June 17, 2011

389 S 900 E, SALT LAKE CITY, UT 84102(385) 282-2700 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Live Well Center-salt Lake City NPPES

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

LIVE WELL CENTER-SALT LAKE CITY (NPI 1073808085) is a healthcare organization registered as a sports medicine in Salt Lake City, Utah and active in the NPI registry since June 2011. The organization lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1073808085

Entity TypeOrganization

Primary Taxonomy207RS0010X

Legal Business NameIHC HEALTH SERVICES INC

Location Address389 S 900 ESalt Lake City, UT 84102-2310

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 408-1396

Phone(385) 282-2700

Organization SubpartNo

Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974

Enumeration DateJune 17, 2011

Last NPPES UpdateJuly 17, 2013

✔ NPI 1073808085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in UT · 5952011

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 5952011 (UT)

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 5952011 (UT)

389 S 900 E, Salt Lake City, UT 84102

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Other Names 1

Doing Business AsLive Well Center-salt Lake City

Other Identifiers 1

Medicare PIN000055456UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Well Center-salt Lake City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,683

Medicare enrollment records show 3,683 clinicians reassign Medicare billing to Live Well Center-Salt Lake City, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 1,227 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner813

Family Practice484

Internal Medicine246

Hospitalist196

Obstetrics/Gynecology193

Pediatric Medicine184

Psychiatry110

General Surgery83

60 other specialties1,374

Nearest to this location (20)

See all 3,683

Alan Bitner, M.D.

Allergy/Immunology

NPI 1972505212

389 SOUTH 900 EAST
Salt Lake City, UT 84102

(385) 282-2750

✔ PECOSSame address

Morgan Bolin, APRN

Nurse Practitioner

NPI 1134796394

389 S 900 E
Slc, UT 84102

(385) 282-2400

✔ PECOS✔ Accepts MedicareSame address

D Scott Burton, M.D.

Internal Medicine

NPI 1134141351

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Roger Harrie, M.D.

Ophthalmology

NPI 1982639787

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Ejay Jack, LCSW

Clinical Social Worker

NPI 1306500590

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2500

✔ PECOSSame address

Hayden James, RD, CD, CDCES

Registered Dietitian or Nutrition Professional

NPI 1255845160

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2500

Same address

Thomas Lombardi, M.D.

Neurology

NPI 1063611986

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Michael Mangelson, M.D.

Urology

NPI 1114944790

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Russell Maxwell, M.D.

Internal Medicine

NPI 1083640767

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Lori Neeleman, PHD

Clinical Psychologist

NPI 1992000145

389 SOUTH 900 EAST
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Rustin Ross, M.D.

Dermatology

NPI 1164631461

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Steven Towner, M.D.

Internal Medicine

NPI 1063446490

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOSSame address

Jason Hamula, M.D.

Family Practice

NPI 1043247588

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Nira Salant, DPT

Physical Therapist in Private Practice

NPI 1033598446

389 S 900 E
Salt Lake City, UT 84102

(801) 282-2000

✔ Accepts MedicareSame address

Park Willis, M.D.

Family Practice

NPI 1083907679

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2400

✔ PECOS✔ Accepts MedicareSame address

Brandon Park, M.D.

Diagnostic Radiology

NPI 1063675171

389 S 900 E SALT LAKE CLINIC
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS✔ Accepts MedicareSame address

Nathan Dean, M.D.

Pulmonary Disease

NPI 1063437770

333 S 900 E
Salt Lake City, UT 84102

(801) 535-8163

✔ PECOS✔ Accepts Medicare0.1 mi

Kelly Garrett, PHD

Clinical Psychologist

NPI 1245251776

333 SOUTH 900 EAST
Salt Lake City, UT 84102

(801) 535-8163

✔ PECOS✔ Accepts Medicare0.1 mi

Richard Dal Canto, M.D.

Orthopedic Surgery

NPI 1114978533

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2000

✔ PECOS0.1 mi

Madison Fletcher, MD

Obstetrics/Gynecology

NPI 1982206900

389 S 900 E
Salt Lake City, UT 84102

(385) 282-2800

✔ PECOS✔ Accepts Medicare0.1 mi

See all 3,683 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1073808085. It was assigned to this organization in the NPPES registry on June 17, 2011. The provider is doing business as Live Well Center-Salt Lake City.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 389 S 900 E, Salt Lake City, UT 84102. The listed phone number is (385) 282-2700.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Ihc Health Services Inc enrolled in Medicare?

Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihc Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,683 clinicians in 68 Medicare specialties reassign their Medicare billing to Ihc Health Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (813), Family Practice (484) and Internal Medicine (246). Of these, 16 practice at this address and 1,227 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.