PARK CITY SLEEP DISORDERS CLINIC
NPI 1285993931
Family Medicine - Sleep Medicine in Salt Lake City, UT
NPI Status: Active since May 15, 2012
Contact Information
900 ROUND VALLEY DR
STE 200
SALT LAKE CITY, UT
ZIP 84060
Phone: (435) 658-6621
- Organization
- Family Medicine
- Sleep Medicine
- Accepts Insurance
- CLIA Number: 46D2202239
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-24-2026
About PARK CITY SLEEP DISORDERS CLINIC
This page provides the complete NPI Profile along with additional information for Park City Sleep Disorders Clinic, a provider established in Salt Lake City, Utah operating as a Family Medicine, focusing in sleep medicine . The healthcare provider is registered in the NPI registry with number 1285993931 assigned on May 2012. The practitioner's primary taxonomy code is 207QS1201X with license number 4602012 (UT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Park City Sleep Disorders Clinic. The authorized official of this NPI record is Linda C Leckman Md (Ceo Intermountain Medical Group)
- NPI
- 1285993931
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- PARK CITY SLEEP DISORDERS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 900 ROUND VALLEY DR STE 200 SALT LAKE CITY, UT 84060
- Location Phone
- (435) 658-6621
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Mailing Phone
- (435) 658-6621
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2012
- Last Update Date
- 01-25-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sleep Medicine
- Taxonomy Code
- 207QS1201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4602012
- License State
- UT
- Taxonomy Description
- A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000055456 | MEDICARE PIN (08) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2202239
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- MICHAEL TANNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park City Sleep Disorders Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285993931, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PARK CITY, UT 84060
PARK CITY, UT 84060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285993931, enumerated as an "organization" on May 15, 2012.
The provider is located at 900 ROUND VALLEY DR STE 200 SALT LAKE CITY, UT 84060 and the phone number is (435) 658-6621.
Family Medicine with taxonomy code 207QS1201X and a focus in Sleep Medicine.
The provider might be accepting Accepts: Molina Healthcare, University of Utah Health. Please consult your insurance carrier or call the provider to verify.
