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IMPACT COMMUNITY SERVICES LLC
NPI 1952279762
Family Medicine in Salt Lake City, UT

Active since October 24, 2025
202 E 5900 S, SALT LAKE CITY, UT 84107(385) 775-0777 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Community Services Llc NPPES

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

IMPACT COMMUNITY SERVICES LLC (NPI 1952279762) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since October 2025. The organization lists Jazzamin Clark, Manager, as its authorized official.

NPPES Registry Identity

NPI1952279762
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPACT COMMUNITY SERVICES LLC
Location Address202 E 5900 SSalt Lake City, UT 84107-7330
Mailing Address202 E 5900 SSalt Lake City, UT 84107-7330
Phone(385) 775-0777
Organization SubpartNo
Authorized OfficialJazzamin ClarkManager · (385) 775-0777
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1952279762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
202 E 5900 S, Salt Lake City, UT 84107
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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

Other Providers at the Same Location NPPES

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

PEACEFUL MINDS WELLNESS CENTER LLC
Counselor (Mental Health)
202 E 5900 S
SALT LAKE CITY, UT 84107
Salt Lake County (702) 527-0660

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 Impact Community Services LLC's NPI number?

The NPI number for Impact Community Services LLC is 1952279762. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Impact Community Services LLC located?

Impact Community Services LLC is located at 202 E 5900 S, Salt Lake City, UT 84107. The listed phone number is (385) 775-0777.

What is Impact Community Services LLC'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 Impact Community Services LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.