BOUNTIFUL CLINIC
NPI 1588799654
Family Medicine in Bountiful, UT

NPI Status: Active since February 22, 2007

Contact Information

390 N MAIN ST
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 294-1000

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 46D2275767
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-26-2027

About BOUNTIFUL CLINIC

This page provides the complete NPI Profile along with additional information for Bountiful Clinic, a primary care provider established in Bountiful, Utah operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1588799654 assigned on February 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 2006-31121 (UT). The provider is registered as an organization and their NPI record was last updated 18 years ago. Bountiful Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Bountiful Clinic. The authorized official of this NPI record is Dr. Linda C Leckman Md (Ceo Intermountain Medical Group)

NPI
1588799654
Provider Legal Name
IHC HEALTH SERVICES INC
Other Organization Name
BOUNTIFUL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
390 N MAIN ST BOUNTIFUL, UT 84010
Location Phone
(801) 294-1000
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Mailing Phone
(801) 294-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2007
Last Update Date
07-30-2008
Code Navigator

A primary care provider (PCP) like Bountiful Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
2006-31121
License State
UT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

2006-31121 (UT)
2207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

2006-31121 (UT)
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

2006-31121 (UT)
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

2006-31121 (UT)
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

2006-31121 (UT)
62085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

2006-31121 (UT)
72085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

2006-31121 (UT)
8208600000XAllopathic & Osteopathic Physicians

Surgery

2006-31121 (UT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LINDA C LECKMAN MD

Authorized Official Title
CEO INTERMOUNTAIN MEDICAL GROUP
Authorized Official Phone
(801) 442-3974

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
000055456MEDICARE PIN (08) 

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
46D2275767
Facility Type
Physician Office
Certificate Effective Date
January 27, 2025
Certificate Expiration Date
January 26, 2027
Laboratory Director
ALISA A. KNOWLTON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Bountiful Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BOUNTIFUL CLINIC

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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 1588799654, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 4 + 9 + 1 + 8 + 6 + 1 + 0 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1588799654.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Physician Assistant
390 N MAIN ST
BOUNTIFUL, UT 84010
Obstetrics & Gynecology
390 N MAIN ST
BOUNTIFUL, UT 84010
Pharmacist
390 N MAIN ST
BOUNTIFUL, UT 84010
Dermatology
390 N MAIN ST
BOUNTIFUL, UT 84010
Emergency Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Dermatology
390 N MAIN ST
BOUNTIFUL, UT 84010
Physician Assistant (Medical)
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Emergency Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588799654, enumerated as an "organization" on February 22, 2007.

The provider is located at 390 N MAIN ST BOUNTIFUL, UT 84010 and the phone number is (801) 294-1000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare, Select Health, Medicare and. Please consult your insurance carrier or call the provider to verify.