SOUTH SANDY CLINIC
NPI 1992830103
Family Medicine in Sandy, UT

Active since February 21, 2007CLIA 46D0910490 · Waiver
955 E 11400 S, SANDY, UT 84094(801) 571-0030 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Sandy Clinic NPPES

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

SOUTH SANDY CLINIC (NPI 1992830103) is a healthcare organization registered as a family medicine in Sandy, Utah and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1992830103
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address955 E 11400 SSandy, UT 84094-6946
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 571-0030
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 30, 2008
NPI 1992830103 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 · 55963
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.
955 E 11400 S, Sandy, UT 84094

Other Names 1

Doing Business AsSouth Sandy 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

Accepted Insurance

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 46D0910490

South Sandy Clinic - Family Medicine · Sandy, UT
Active · expires Oct 13, 2027
CLIA Number46D0910490
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorReagan Schaplow
Laboratory Phone(801) 571-0030
Laboratory LocationSouth Sandy Clinic - Family Medicine955 E 11400 S, Sandy, UT 84094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
955 E 11400 S
SANDY, UT 84094
Family Medicine
955 E 11400 S
SANDY, UT 84094
Family Medicine
955 E 11400 S
SANDY, UT 84094
Physician Assistant
955 E 11400 S
SANDY, UT 84094

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 1992830103. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as South Sandy Clinic.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 955 E 11400 S, Sandy, UT 84094. The listed phone number is (801) 571-0030.

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 46D0910490) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ihc Health Services Inc accept?

Health plans from Molina Healthcare 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.