KAYSVILLE CREEKSIDE CLINIC - NPI 1154747087 - Family Medicine in Kaysville, UT

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

The NPI number for Ihc Health Services Inc is 1154747087. It was assigned to this organization in the NPPES registry on March 17, 2014. The provider is doing business as Kaysville Creekside Clinic.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Kaysville Creekside Clinic NPPES

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

KAYSVILLE CREEKSIDE CLINIC (NPI 1154747087) is a healthcare organization registered as a family medicine in Kaysville, Utah and active in the NPI registry since March 2014. The organization holds a CLIA Microscopy certificate valid through March 8, 2027 and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1154747087

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameIHC HEALTH SERVICES INC

Location Address435 N MAIN STKaysville, UT 84037

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 498-6000 · Fax (801) 498-6085

Phone(801) 498-6000

Fax(801) 498-6085

Organization SubpartNo

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

Enumeration DateMarch 17, 2014

Last NPPES UpdateJune 9, 2014

✔ NPI 1154747087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 4402014

Definition

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.

435 N MAIN ST, Kaysville, UT 84037

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Other Names 1

Doing Business AsKaysville Creekside Clinic

Other Identifiers 1

Medicare PIN000055456UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 46D2078867

Kaysville Creekside Clinic - Family Medicine · Kaysville, UT

Active · expires Mar 8, 2027

CLIA Number46D2078867

Laboratory TypeCommunity Clinic

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorLandon K. Preece

Laboratory Phone(801) 498-6000

Laboratory LocationKaysville Creekside Clinic - Family Medicine435 North Main Street, Kaysville, UT 84037

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

LANDON KIMBALL PREECE MD

Family Medicine