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PACIFIC STATES CLINIC
NPI 1912267212
Family Medicine in Provo, UT

Active since May 21, 2012
1401 E 2000 S, PROVO, UT 84606(801) 373-6910 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific States Clinic NPPES

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

PACIFIC STATES CLINIC (NPI 1912267212) is a healthcare organization registered as a family medicine in Provo, Utah and active in the NPI registry since May 2012. The organization lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1912267212
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address1401 E 2000 SProvo, UT 84606-2072
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 373-6910
Phone(801) 373-6910
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateMay 21, 2012
✔ NPI 1912267212 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 · 8082012
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.

1401 E 2000 S, Provo, UT 84606
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Other Names 1

Doing Business AsPacific States Clinic

Other Identifiers 1

Medicare UPIN000055456UT

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

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 1912267212. It was assigned to this organization in the NPPES registry on May 21, 2012. The provider is doing business as Pacific States Clinic.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 1401 E 2000 S, Provo, UT 84606. The listed phone number is (801) 373-6910.

What is Ihc Health Services Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on May 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.