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412 N 200 E Logan Clinic Logan UT 84321-4038 | |
(435) 713-2800 | |
(435) 713-2834 |
Full Name | |
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Speciality | Clinic/center |
Location | 412 N 200 E, Logan, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 713-2800 | 412 N 200 E Logan Clinic Logan UT 84321-4038 Ph: (435) 713-2800 |
NPI Number | 1376688416 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 01/27/2017 |
Identifier | Type | State | Issuer |
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1376688416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315 | |
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816 | |