INTERMOUNTAIN SOUTH OGDEN
NPI 1841232352
Family Medicine in South Ogden, UT

NPI Status: Active since June 11, 2006

Contact Information

975 CHAMBERS ST
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 387-6200
Fax: (801) 387-6234

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  • Organization
  • Family Medicine
  • CLIA Number: 46D0687259
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-08-2026

About INTERMOUNTAIN SOUTH OGDEN

This page provides the complete NPI Profile along with additional information for Intermountain South Ogden, a primary care provider established in South Ogden, Utah operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1841232352 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Intermountain South Ogden operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Intermountain South Ogden. The authorized official of this NPI record is Paul T Van Wagenen (Director Of Operations)

NPI
1841232352
Provider Legal Name
IHC HEALTH SERVICES, INC
Other Organization Name
INTERMOUNTAIN SOUTH OGDEN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
975 CHAMBERS ST SOUTH OGDEN, UT 84403
Location Phone
(801) 387-6200
Location Fax
(801) 387-6234
Mailing Address
975 CHAMBERS ST SOUTH OGDEN, UT 84403
Mailing Phone
(801) 387-6200
Mailing Fax
(801) 387-6234
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
08-22-2020
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A primary care provider (PCP) like Intermountain South Ogden sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL T VAN WAGENEN

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(801) 387-3470

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D0687259
Facility Type
Physician Office
Certificate Effective Date
June 09, 2024
Certificate Expiration Date
June 08, 2026
Laboratory Director
DAVID M. ALLEN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Intermountain South Ogden after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841232352
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881434310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 4 + 3 + 4 + 3 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1841232352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750315966DR. T SHARMAN SUTHERLAND M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1528081114DR. JOHN S FRIDEN MD
Individual
Family Medicine975 CHAMBERS ST
OGDEN, UT 84403
(801) 387-6200
1013077379 BETTY H. YAMASHITA RPH
Individual
Pharmacist975 CHAMBERS ST
OGDEN, UT 84403
(801) 387-6300
1932247764 SANDRA TRIERWEILER RPH
Individual
Pharmacist975 CHAMBERS ST IHC PHARMACY
SOUTH OGDEN, UT 84403
(801) 387-6300
1922143643IHC HEALTH SERVICES INC
Organization
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1053456673IHC HEALTH SERVICES INC
Organization
Emergency Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1831337732IHC HEALTH SERVICES INC
Organization
Clinic/Center (Multi-Specialty)975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-5641
1366462913DR. RICHARD G HALL M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1336568666 MATTHEW MARINER BINGHAM M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 442-3059
1508278615 KURT OLAVESON
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1619928140 DAVID S AAMODT MD
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1891354080 ALEXANDER OLSEN
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1952040974MRS. CERISSA NICOLE JOHNSON HETH
Individual
Nurse Practitioner975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1689608895DR. L SCOTT CARDON M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1689141442 JOSHUA ANTHONY HOSKIN
Individual
Physician Assistant (Medical)975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841232352, enumerated in the NPI registry as an "organization" on June 11, 2006

The provider is located at 975 Chambers St South Ogden, Ut 84403 and the phone number is (801) 387-6200

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 46D0687259 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.