BOUNTIFUL CLINIC
NPI 1588799654
Family Medicine in Bountiful, UT

Active since February 22, 2007CLIA Certified · 2 labs
390 N MAIN ST, BOUNTIFUL, UT 84010(801) 294-1000 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bountiful Clinic NPPES

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

BOUNTIFUL CLINIC (NPI 1588799654) is a healthcare organization registered as a family medicine in Bountiful, Utah and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1588799654
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address390 N MAIN STBountiful, UT 84010-6046
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 294-1000
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 30, 2008
✔ NPI 1588799654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 2006-31121
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.
Also ListedPsychologistTaxonomy 103T00000X · License 2006-31121 (UT)
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 2006-31121 (UT)
Also ListedInternal MedicineTaxonomy 207R00000X · License 2006-31121 (UT)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2006-31121 (UT)
Also ListedPediatricsTaxonomy 208000000X · License 2006-31121 (UT)
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 2006-31121 (UT)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 2006-31121 (UT)
Also ListedSurgeryTaxonomy 208600000X · License 2006-31121 (UT)
390 N MAIN ST, Bountiful, UT 84010

Other Names 1

Doing Business AsBountiful Clinic

Other Identifiers 1

Medicare PIN000055456

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bountiful Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,576

Medicare enrollment records show 4,576 clinicians reassign Medicare billing to Bountiful Clinic, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 700 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 75

Nurse Practitioner949
Family Practice516
Pediatric Medicine263
Internal Medicine262
Emergency Medicine211
Hospitalist198
Obstetrics/Gynecology196
Diagnostic Radiology173
67 other specialties1,808

Nearest to this location (20)

See all 4,576
Clinical Psychologist
NPI 1750450953
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6670
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124695879
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6400
✔ PECOSSame address
Family Practice
NPI 1124400692
390 N MAIN ST
Bountiful, UT 84010
(208) 234-4700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417444845
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1598167488
390 N MAIN ST
Bountiful, UT 84010
(801) 408-8502
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730168329
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6320
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1740669118
390 N MAIN ST
Bountiful, UT 84010
(801) 408-8502
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699354639
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699156802
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6320
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1417444555
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6301
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1134383086
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6350
✔ PECOSSame address
Pediatric Medicine
NPI 1891061594
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1000
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1760410203
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1055
✔ PECOSSame address
Internal Medicine
NPI 1881797843
390 N MAIN ST
Bountiful, UT 84010
(801) 397-6320
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1467561613
390 N MAIN ST
Bountiful, UT 84010
(801) 299-9050
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1346494846
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1000
✔ PECOSSame address
Emergency Medicine
NPI 1528026978
390 N MAIN ST
Bountiful, UT 84010
(801) 292-6100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104863935
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1044
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750320552
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1040
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1629187638
390 N MAIN ST
Bountiful, UT 84010
(801) 294-1000
✔ PECOS✔ Accepts MedicareSame address
See all 4,576 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

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) 46D2275767

Bountiful Clinic · Bountiful, UT
Active · expires Jan 26, 2027
CLIA Number46D2275767
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorAlisa A. Knowlton
Laboratory Phone(801) 397-6400
Laboratory LocationBountiful Clinic390 N Main St, Dept 73104, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name
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.

Certificate of Compliance 46D1072979

Bountiful Clinic - Dermatology · Bountiful, UT
Active · expires Nov 7, 2026
CLIA Number46D1072979
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorDr. John E. Robison
Laboratory Phone(801) 397-6600
Laboratory LocationBountiful Clinic - Dermatology390 North Main, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1588799654. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Bountiful Clinic.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 390 N Main St, Bountiful, UT 84010. The listed phone number is (801) 294-1000.

What is Ihc Health Services Inc's specialty?

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

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), 4,576 clinicians in 75 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 (949), Family Practice (516) and Pediatric Medicine (263). Of these, 24 practice at this address and 700 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ihc Health Services Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ihc Health Services Inc accept?

Health plans from Molina Healthcare and Select Health list Ihc Health Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.