Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1053664680
Ihc Health Services Inc
Organization Subpart: NO
Active
NPI Number1053664680
NPI TypeNPI-2 Organization
SpecialtyRadiology, Pediatric Radiology
Provider Details
NPI1053664680
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-10-19
Last Updated2012-10-22
Authorized OfficialLinda Leckman
CEO Intermountain Medical Group
Phone: 8014423974
Mailing AddressPo Box 27128
Salt Lake City, UT 84127-0128
United States
Phone: (801) 442-3156
📍 View Map
Primary Practice Address100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
United States
Phone: (801) 442-3156
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2085P0229X – Radiology, Pediatric RadiologyUT4802012
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About NPI 1053664680

Ihc Health Services Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053664680. The primary specialty listed is Radiology, Pediatric Radiology. The organization is located in Salt Lake City, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-10-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053664680?

NPI 1053664680 belongs to Ihc Health Services Inc, a Radiology, Pediatric Radiology in Salt Lake City, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053664680 active?

The current status of NPI 1053664680 in the NPPES registry is Active. The record was last updated on 2012-10-22.

What specialty is NPI 1053664680?

NPI 1053664680 is classified under the taxonomy Radiology, Pediatric Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053664680?

You can verify NPI 1053664680 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053664680?

The primary practice address on file for NPI 1053664680 is 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053664680 issued?

NPI 1053664680 was first issued (enumerated) on 2012-10-19. The NPPES record was last updated on 2012-10-22.

Practice Location Map

Ihc Health Services Inc is located at 100 Mario Capecchi Dr, Salt Lake City, UT. Use the map below to find directions or verify the practice location.

📍 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ihc Health Services Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053664680. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Radiology, Pediatric Radiology4802012UT
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162