SOUTH OGDEN CLINIC
NPI 1922143643
Family Medicine in South Ogden, UT

Active since February 20, 2007CLIA 46D0705203 · Waiver
975 CHAMBERS ST, SOUTH OGDEN, UT 84403(801) 387-6200 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Ogden Clinic NPPES

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

SOUTH OGDEN CLINIC (NPI 1922143643) is a healthcare organization registered as a family medicine in South Ogden, Utah and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1922143643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address975 CHAMBERS STSouth Ogden, UT 84403-4591
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-6200
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 30, 2008
NPI 1922143643 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 · 204
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.
975 CHAMBERS ST, South Ogden, UT 84403

Other Names 1

Doing Business AsSouth Ogden Clinic

Other Identifiers 1

Medicare PIN000055456

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 of Waiver 46D0705203

South Ogden Clinic - Family Medicine · South Ogden, UT
Active · expires Apr 25, 2027
CLIA Number46D0705203
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorBrooke Drollinger
Laboratory Phone(801) 387-6200
Laboratory LocationSouth Ogden Clinic - Family Medicine975 E Chambers St, South Ogden, UT 84403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Pharmacist
975 CHAMBERS ST
OGDEN, UT 84403
Emergency Medicine
975 CHAMBERS ST
SOUTH OGDEN, UT 84403
Family Medicine
975 CHAMBERS ST
OGDEN, UT 84403
Family Medicine
975 CHAMBERS ST
SOUTH OGDEN, UT 84403
Family Medicine
975 CHAMBERS ST
SOUTH OGDEN, UT 84403
Family Medicine
975 CHAMBERS ST
SOUTH OGDEN, UT 84403
Family Medicine
975 CHAMBERS ST
SOUTH OGDEN, UT 84403
Physician Assistant (Medical)
975 CHAMBERS ST
SOUTH OGDEN, UT 84403

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 1922143643. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as South Ogden Clinic.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 975 Chambers St, South Ogden, UT 84403. The listed phone number is (801) 387-6200.

What is Ihc Health Services Inc's specialty?

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

Does Ihc Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0705203) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.