AVENUES SPECIALTY CLINIC – NPI #1689709859
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

AVENUES SPECIALTY CLINIC is a provider located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1689709859 to AVENUES SPECIALTY CLINIC on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVENUES SPECIALTY CLINIC” is a dba name, the actual legal business name for this organization is IHC HEALTH SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 16 years ago on Sep 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVENUES SPECIALTY CLINIC below.

NPI Profile for
IHC HEALTH SERVICES INC

NPI Number
1689709859
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IHC HEALTH SERVICES INC
Doing Business As (dba): AVENUES SPECIALTY CLINIC
Primary location
324 10TH AVE
#200
SALT LAKE CITY, UT 84103-2853
Phone: (801) 408-7500 Fax:
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone: (801) 408-7500 Fax:
Organization Subpart
No
Authorized Official
LINDA LECKMAN
CEO INTERMOUNTAIN MEDICAL GROUP
Phone: (801) 442-3974
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
UT 20040897
208800000X
- Urology
UT 6312010
208600000X
- Surgery
UT 6312010
207V00000X
- Obstetrics & Gynecology
UT 6312010
207RG0300X
- Internal Medicine / Geriatric Medicine
UT 20040897
207RG0100X
- Internal Medicine / Gastroenterology
UT 6312010
163WW0101X
- Registered Nurse / Women's Health Care, Ambulatory
UT 6312010

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.