NPI 1043546260

Ihc Health Services INC

Organisation Cardiovascular Disease Physician Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave #12, Idaho Falls, ID 83404-6374
Phone: (801) 387-2655
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Authorised official

Name: Linda C Leckman
Title: Ceo Intermountain Medical Group
Phone: (801) 442-3974

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 9862008 (UT)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1043546260
Entity type: Organization
NPI issued: 22 Oct 2009
Record last updated: 22 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.